Individual
MARY-CHRISTINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3297 WASHINGTON ST, BROOKSIDE COMMUNITY HEALTH CENTER, JAMAICA PLAIN, MA 02130-2655
(617) 522-4700
Mailing address
3297 WASHINGTON ST, BROOKSIDE COMMUNITY HEALTH CENTER, JAMAICA PLAIN, MA 02130-2655
(617) 522-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2271793
MA
Other
Enumeration date
09/07/2011
Last updated
05/29/2013
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