Individual
LESLIE JANE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
133 BROOKLINE AVE, HARVARD VANGUARD MEDICAL ASSOCIATES, ADULT TELECOM, BOSTON, MA 02215-3904
(617) 421-1000
(781) 849-2258
Mailing address
133 BROOKLINE AVE, HARVARD VANGUARD MEDICAL ASSOCIATES, ADULT TELECOM, BOSTON, MA 02215-3904
(617) 421-1000
(781) 849-2258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
156010
MA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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