Individual
JUDITH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MASS GENERAL HOSPITAL RACU BIGELOW 9, FRUIT ST, BOSTON, MA 02114
(617) 724-9000
Mailing address
PO BOX 461, WEST NEWBURY, MA 01985-0661
(508) 641-1415
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
153226
MA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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