Individual
DR. BRIAN P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 WEBSTER ST, HANOVER, MA 02339-1200
(781) 878-7020
(781) 871-3590
Mailing address
4 EVERGREEN ST, HINGHAM, MA 02043-1014
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
74990
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025541
AETNA
—
01
—
13867
HPHC
MA
01
—
139146
CIGNA
—
05
—
3183238
—
MA
01
—
74990
TUFTS
—
01
—
J12638
BCBS
MA
Enumeration date
12/07/2005
Last updated
04/24/2009
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