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Dr. James Patrick Sullivan, MD
Student in an Organized Health Care Education/Training Program in Malden, Massachusetts
NPI 1821610296

James Patrick Sullivan is a Student in an Organized Health Care Education/Training Program based in Malden, MA. James Patrick Sullivan practices in Malden, MA and has the professional credentials of MD. The NPI Number for James Patrick Sullivan is 1821610296 and holds a License No. (Massachusetts).

The current practice location address for James Patrick Sullivan is 195 Canal St, Malden, MA and can be reached out via phone at 781-338-0500.

Location: 195 Canal St, Malden, MA, 02148-6701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821610296
Provider Name
James Patrick Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
195 Canal St, Malden, MA, 02148-6701
Phone Number
781-338-0500
Fax Number
Provider Enumeration Date
05/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
195 Canal St
City
Malden
State
Massachusetts
Zip
02148-6701
Phone Number
781-338-0500
Fax Number
person
Provider Business Mailing Address Details
Address
195 Canal St
City
Malden
State
Massachusetts
Zip
02148-6701
Phone Number
781-338-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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