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Contact Information

JAMES J SULLIVAN, MD
60 HOSPITAL RD
UMASS MEMORIAL HEALTH ALLIANCE CLINTON HOSPITAL
LEOMINSTER, MA01453
 Phone: 978-466-2451
 Fax: 978-466-2570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JAMES J SULLIVAN · (Male)

NPI # 1730161308
Status Active
Credentials MD
Entity Individual
Enumeration date 11/18/2005
Last updated 11/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 202737
  • MA Medicaid 2020734
Hospital affiliation(s)
  • GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    235 NORTH PEARL STREET
    BROCKTON, MA 02301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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