Individual
BRANDON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
577 WESTERN AVE, WESTFIELD, MA 01085-2580
(413) 572-8149
Mailing address
577 WESTERN AVE, WESTFIELD, MA 01085-2580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
02/16/2026
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