Individual
ANNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT209333
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
274116
MA
Other
Enumeration date
06/04/2015
Last updated
02/18/2021
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