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Dr. John L Sullivan

Pediatric Allergist

55 Lake Ave N Department Of Pediatric Allergy & Immunology
Worcester , Massachusetts 01655-0002

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Image

Dr. John L Sullivan

Pediatric Allergist

55 Lake Ave N Department Of Pediatric Allergy & Immunology
Worcester , Massachusetts 01655-0002

(508) 334-1977

Write a Review Save Call

Dr. John L Sullivan

Pediatric Allergist

55 Lake Ave N Department Of Pediatric Allergy & Immunology
Worcester , Massachusetts 01655-0002

(508) 334-1977 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Allergist

Languages spoken

  • English

Location

55 Lake Ave N Department Of Pediatric Allergy & Immunology Worcester , Massachusetts 01655-0002

First Address

  • Dr. John L Sullivan
  • Po Box 415348
  • Boston, MA
  • Zip : 02241-0001
  • Fax : (508) 334-1977
  • Phone : (800) 225-8885

Second Address

  • Dr. John L Sullivan
  • 55 Lake Ave N Department Of Pediatric Allergy & Immunology
  • Worcester, MA
  • Zip : 01655-0002
  • Fax : (508) 856-5004
  • Phone : (508) 856-1572

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FAQs


Where did Dr. John L Sullivan attend graduate school?

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Where did Dr. John L Sullivan do his residency?

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Where did Dr. John L Sullivan do his fellowship?

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Is Dr. John L Sullivan board certified?

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What type of doctor is Dr. John L Sullivan

Pediatric Allergist

In what state does Dr. John L Sullivan practice in?

Massachusetts

Where is Dr. John L Sullivan ’s practice located?

55 Lake Ave N Department Of Pediatric Allergy & Immunology , Worcester, Massachusetts, 01655-0002

What is Dr. John L Sullivan ’s gender?

Male

Is Dr. John L Sullivan a sole practitioner?

No

Is Dr. John L Sullivan accepting new patients?

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What languages does Dr. John L Sullivan speak?

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Does Dr. John L Sullivan accept insurance?

Yes, Dr. John L Sullivan accepts insurance

Does Dr. John L Sullivan offers telemedicine?

Dr. John L Sullivan has not indicated if he offers telemedicine

What is Dr. John L Sullivan ’s professional license number?

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What is Dr. John L Sullivan ’s NPI number?

1821072547

Does Dr. John L Sullivan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2080P0201X Pediatric Allergist 42650 MA

National Provider Identifier

NPI 1821072547
Provider Name Dr. John L Sullivan
First Address Boston, MA 02241-0001
Second Address Worcester, MA 01655-0002
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/12/2005
Last Update Date 09/11/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2061902 (05) MA
E02102 (02) MA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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