Sullivan, Brian P

Sullivan, Brian P is an individual health care provider with primary practice located at 135 Webster St , Hanover MA 02339-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sullivan, Brian P can be contacted via phone (781) 878-7020.

Contact Information

Primary practice address
135 Webster St Hanover MA 02339-1200
Phone: (781) 878-7020
Fax: (781) 871-3590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 74990 Massachusetts

Profile Details

NPI number 1699750265
LBN Legal business name Sullivan, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Apr 24th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699750265 NPPES
Massachusetts MEDICAID 3183238
Massachusetts Other 1025541
Massachusetts Other J12638
Massachusetts Other 13867
Massachusetts Other 139146
Massachusetts Other 74990

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