Organization
IRIS SULLIVAN M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRIS SULLIVAN M.D. (PRESIDENT)
(978) 348-2183
Entity
Organization
Contact information
Practice address
64 WHALON ST, FITCHBURG, MA 01420-7138
(978) 342-4500
(978) 342-4600
Mailing address
256 PEARL HILL RD, FITCHBURG, MA 01420-2019
(978) 348-2183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
156837
MA
Other
Enumeration date
05/06/2009
Last updated
08/05/2009
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