Individual
JAMES D SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3402
Mailing address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
(973) 251-1018
(973) 740-9895
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72262
MA
207R00000X
Internal Medicine Physician
MD09038
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074447
—
MA
01
—
404886
TUFTS
MA
01
—
45468
HPHC
MA
01
—
J10322
BCBS
MA
Enumeration date
10/24/2005
Last updated
04/01/2013
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