Individual
DANIEL J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-9600
Mailing address
330 BROOKLINE AVENUE, BOSTON, MA 02215
(617) 667-9600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71182
MA
Other
Enumeration date
10/12/2006
Last updated
09/10/2007
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