Sullivan, Elana

Sullivan, Elana is an individual health care provider with primary practice located at 55 Fogg Rd , Weymouth MA 02190-2432. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Sullivan, Elana can be contacted via phone (781) 624-8052.

Contact Information

Primary practice address
55 Fogg Rd Weymouth MA 02190-2432
Phone: (781) 624-8052
Fax: (781) 624-6730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 150316 Massachusetts
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 150316 Massachusetts

Profile Details

NPI number 1184682338
LBN Legal business name Sullivan, Elana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 16th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184682338 NPPES
Massachusetts MEDICAID 3192423

Popular Providers