Individual
DANIELLE AYSHA SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1400
(508) 421-1490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1018304
MA
207P00000X
Emergency Medicine Physician
OT019869
PA
Other
Enumeration date
04/29/2020
Last updated
05/17/2024
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