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Dr. John S Sullivan, MD
Allergy Physician in Worcester, Massachusetts
NPI 1568466324

John S Sullivan is an Allergy Physician based in Worcester, MA and is specialized in Allergy. John S Sullivan practices in Worcester, MA and has the professional credentials of MD. The NPI Number for John S Sullivan is 1568466324 and holds a License No. 57446 (Massachusetts).

The current practice location address for John S Sullivan is 100 Mlk Jr Blvd, Worcester, MA and can be reached out via phone at 508-757-1589 and via fax at 508-756-5633. You can also correspond with John S Sullivan through the mailing address at 100 MLK JR BLVD, WORCESTER, MA - 01608-1209 (mailing address contact number: 508-757-1589).

Location: 100 Mlk Jr Blvd, Worcester, MA, 01608-1209
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Provider Profile Details
NPI Number
1568466324
Provider Name
John S Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Mlk Jr Blvd, Worcester, MA, 01608-1209
Phone Number
508-757-1589
Fax Number
508-756-5633
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0200248 01 MA UNITED HEALTH CARE
057446 01 MA TUFTS HEALTHPLAN
J30252 01 MA BLUE CROSS BLUE SHIELD
985163 01 MA NETWORK HEALTH
6189768 05 MA
042923137 01 MA TAX ID GROUP NUMBER
645387 01 MA HARVARD PILGRIM
2376607 01 MA AETNA HEALTHCARE
26920 01 MA CHILDREN'S MEDICAL SECURI
63777 01 MA FALLON HEALTH PLAN
0029830 01 MA NEIGHBORHOOD HEALTH PLAN
326051 01 MA CIGNA HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
100 Mlk Jr Blvd
City
State
Zip
01608-1209
Phone Number
508-757-1589
Fax Number
508-756-5633
person
Provider Business Mailing Address Details
Address
100 Mlk Jr Blvd
City
State
Zip
01608-1209
Phone Number
508-757-1589
Fax Number
508-756-5633
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
57446 (Massachusetts)
Definition
Definition to come...
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