Individual
DR. DANIEL G SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
34 POPE ST, HUDSON, MA 01749-2182
(978) 562-7976
Mailing address
34 POPE ST, HUDSON, MA 01749-2182
(978) 562-7976
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4603
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712329
—
MA
01
—
261552128
VSP
—
01
—
7930927
AETNA
—
01
—
AA91010
HARVARD PILGRIM
—
01
—
W16493
BLUECROSS BLUESHIELD
—
Enumeration date
12/12/2006
Last updated
03/10/2015
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