Individual
ROBERTA M. SULLIVAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5179
Mailing address
755 E BROADWAY, HAVERHILL, MA 01830-1811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
147553
MA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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