Individual
JOSEPH BRIAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
261 MAIN ST STE B, WAREHAM, MA 02571-2111
(508) 295-7174
(508) 730-6512
Mailing address
261 MAIN ST UNIT B, WAREHAM, MA 02571-2111
(508) 295-7174
(508) 730-6512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73361
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079066
—
MA
Enumeration date
09/22/2005
Last updated
04/30/2025
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