Individual
DOROTHY A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST # 800, MGH HEART FAILURE CENTER, BOSTON, MA 02114-2621
(617) 726-8229
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
167926
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0389200
—
MA
Enumeration date
01/22/2007
Last updated
03/24/2015
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