Active NPIIndividual provider

Matthew J Sullivan, PA-C

Physician Assistant in Andover, Massachusetts

NPI Number1922653179
Practice location
323 Lowell St, Andover, MA 01810-4659
Fax
—
Last updated
May 7, 2024

Matthew J Sullivan is a Physician Assistant based in Andover, MA. Matthew J Sullivan practices in Andover, MA and has the professional credentials of PA-C. The NPI Number for Matthew J Sullivan is 1922653179 and holds a License No. PA7371 (MA). The current practice location address for Matthew J Sullivan is 323 Lowell St, Andover, MA 01810-4659 and can be reached out via phone at 978-794-1946.

Provider Profile Details

NPI Number
1922653179
Provider Name
Matthew J Sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
323 Lowell St, Andover, MA 01810-4659
Phone Number
978-794-1946
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2019
Last Update Date
May 7, 2024
Certification Date
May 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
323 Lowell St
Andover, MA 01810-4659
Zip
01810-4659
Phone Number
978-794-1946
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
575 Turnpike St Ste 11
North Andover, MA 01845-5937
City
North Andover
State
MA
Zip
01845-5937
Phone Number
978-794-1946

License Information

License Number
PA7371
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew J Sullivan, PA-C?

The NPI number of Matthew J Sullivan, PA-C is 1922653179. It was assigned on August 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Matthew J Sullivan, PA-C?

Matthew J Sullivan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA7371.

Where does Matthew J Sullivan, PA-C practice?

The practice location is 323 Lowell St, Andover, MA 01810-4659. The office can be reached at 978-794-1946 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922653179 directly on the NPPES registry website.

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