Individual
ELISE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 DEACONESS RD # CC-470, BOSTON, MA 02215-5321
(617) 754-2713
Mailing address
1 DEACONESS RD # CC-470, BOSTON, MA 02215-5321
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24085
NH
Other
Enumeration date
06/03/2015
Last updated
12/08/2023
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