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DR. JOHN S SULLIVAN MD

Allergy

Worcester, Massachusetts

Provider NPI: 1568466324

Provider Information:
DR. JOHN S SULLIVAN MD


Practice Location:
100 MLK JR BLVD 2ND FLOOR WORCESTER, MA 01608 US
Tel: 508-757-1589  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
MA57446

Other Provider Identifiers:

IssuerNumberStateType
TAX ID GROUP NUMBER042923137MA01
TUFTS HEALTHPLAN057446MA01
NEIGHBORHOOD HEALTH PLAN0029830MA01
AETNA HEALTHCARE2376607MA01
6189768MA05
FALLON HEALTH PLAN63777MA01
CHILDREN'S MEDICAL SECURI26920MA01
HARVARD PILGRIM645387MA01
UNITED HEALTH CARE0200248MA01
CIGNA HEALTHCARE326051MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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