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William J Sullivan
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1942507546

William J Sullivan is a Student in an Organized Health Care Education/Training Program based in Boston, MA. William J Sullivan practices in Brockton, MA. The NPI Number for William J Sullivan is 1942507546 and holds a License No. (Massachusetts).

The current practice location address for William J Sullivan is 142 Crescent St, Brockton, MA and can be reached out via phone at 508-941-0005.

Location: 142 Crescent St, Brockton, MA, 02116-6230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942507546
Provider Name
William J Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
142 Crescent St, Brockton, MA, 02116-6230
Phone Number
508-941-0005
Fax Number
Provider Enumeration Date
02/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
142 Crescent St
City
Brockton
State
Massachusetts
Zip
02302-3104
Phone Number
508-941-0005
Fax Number
person
Provider Business Mailing Address Details
Address
142 Crescent St
City
Brockton
State
Massachusetts
Zip
02302-3104
Phone Number
508-941-0005
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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