Sullivan, Ryan J
Sullivan, Ryan J is an individual health care provider with primary practice located at 330 Mt Auburn St , Cambridge MA 02138-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sullivan, Ryan J can be contacted via phone (617) 499-5112.Contact Information
Primary practice address
330 Mt Auburn St
Cambridge MA 02138-5502
Phone: (617) 499-5112
Fax: (617) 575-8608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 222743 | Massachusetts |
Profile Details
| NPI number | 1881696003 |
|---|---|
| LBN Legal business name | Sullivan, Ryan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 24th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881696003 | NPPES |
| Massachusetts | MEDICAID | 2097702 |
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