Sullivan, Gina T

Sullivan, Gina T is an individual health care provider with primary practice located at 33 Kendall St , Worcester MA 01605-2726. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Sullivan, Gina T can be contacted via phone (508) 334-6255.

Contact Information

Primary practice address
33 Kendall St Worcester MA 01605-2726
Phone: (508) 334-6255
Fax: (508) 334-6063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 258579 Massachusetts
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 258579 Massachusetts

Profile Details

NPI number 1265750228
LBN Legal business name Sullivan, Gina T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2010
Last updated Nov 10th, 2020 - about 4 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 1265750228 NPPES
Massachusetts MEDICAID 110104869A

Popular Providers