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NPI Profile for Dr JOHN L SULLIVAN in WORCESTER, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Allergy/Immunology |
2080P0201X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1821072547 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 12/06/2005 | |
| Last updated | 11/09/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JOHN L SULLIVAN
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JOHN L SULLIVAN, MD