Individual
MR. JOHN J O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8731
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332071
—
MA
01
—
2329164
AETNA/US HEALTHCARE
MA
01
—
24189
HEALTH NEW ENGLAND
MA
01
—
470226
TUFTS HEALTH PLAN
MA
01
—
626166
HARVARD PILGRIM HEALTH CA
MA
01
—
63862
FALLON COMMUNITY HEALTH PLAN
MA
01
—
650020139
RAILROAD MEDICARE
MA
01
—
712451
CONNECTICARE
MA
01
—
Y67777
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/14/2006
Last updated
04/17/2024
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