Individual
KATHERINE P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-6206
(508) 334-6083
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
269888
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
269888
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110122125A
—
MA
01
—
S400384003
MEDICARE
MA
Enumeration date
06/19/2008
Last updated
10/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us