Individual
EDWARD T SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 ALLIED DRIVE STE 303, DEDHAM, MA 02026-0202
(781) 267-2305
(888) 316-2179
Mailing address
3 ALLIED DR STE 303, DEDHAM, MA 02026-6148
(781) 267-2305
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
16059502330
MA
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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