Organization
PHILIP G SULLIVAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP GERARD SULLIVAN M.D. (PHYSICIAN)
(508) 759-1482
Entity
Organization
Contact information
Practice address
489 SHORE RD, MONUMENT BEACH, MA 02553-1034
(508) 759-1482
(508) 743-9202
Mailing address
PO BOX 1034, MONUMENT BEACH, MA 02553-1034
(508) 759-1482
(508) 743-9202
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26061
MA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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