Sullivan, Mary Anna

Sullivan, Mary Anna is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Road, Burlington MA 01805-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Sullivan, Mary Anna can be contacted via phone (781) 744-8869.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Road Burlington MA 01805-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 49220 Massachusetts

Profile Details

NPI number 1295759249
LBN Legal business name Sullivan, Mary Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 16th, 2010 - about 14 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 1295759249 NPPES
Massachusetts MEDICAID 3003582

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