Organization
IRIS SULLIVAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS SULLIVAN M.D. (PHYSICIAN)
(978) 342-4500
Entity
Organization
Contact information
Practice address
46 WHALON STREET, FITCHBURG, MA 01420
(978) 342-4500
(978) 342-4600
Mailing address
46 WHALON, FITCHBURG, MA 01420
(978) 342-4500
(978) 342-4600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN281239
MA
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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