person
Dr. John L Sullivan, MD
Pediatric Allergy/Immunology Physician in Worcester, Massachusetts
NPI 1821072547

John L Sullivan is a Pediatric Allergy/Immunology Physician based in Boston, MA and is specialized in Pediatric Allergy/Immunology. John L Sullivan practices in Worcester, MA and has the professional credentials of MD. The NPI Number for John L Sullivan is 1821072547 and holds a License No. 42650 (Massachusetts).

The current practice location address for John L Sullivan is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-856-1572 and via fax at 508-856-5004.

Location: 55 Lake Ave N, Worcester, MA, 02241-0001
person
Provider Profile Details
NPI Number
1821072547
Provider Name
John L Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 02241-0001
Phone Number
508-856-1572
Fax Number
508-856-5004
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2061902 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-856-1572
Fax Number
508-856-5004
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-856-1572
Fax Number
508-856-5004
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Allergy/Immunology
Taxonomy
License No.
42650 (Massachusetts)
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
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