Individual
MATTHEW J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
323 LOWELL ST, ANDOVER, MA 01810-4659
(978) 794-1946
Mailing address
575 TURNPIKE ST STE 11, NORTH ANDOVER, MA 01845-5937
(978) 794-1946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7371
MA
Other
Enumeration date
08/05/2019
Last updated
05/07/2024
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