Individual
DR. ELEANOR R SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 UNDERPASS RD, BREWSTER, MA 02631-1810
(085) 876-3777
(888) 275-9498
Mailing address
125 UNDERPASS RD, BREWSTER, MA 02631-1810
(508) 876-3777
(888) 275-9498
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
72694
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057799
CIGNA
MA
01
—
060063844
RR MEDICARE
MA
01
—
072694
TUFTS
MA
01
—
25008433
UNITED HEALTH CARE
MA
01
—
2580624
AETNA
MA
01
—
300296
HPHC
MA
05
—
3126587
—
MA
01
—
J30487
BLUE SHIELD
MA
Enumeration date
05/16/2006
Last updated
01/15/2025
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