Individual provider · Type 1 NPI
John Warren Sullivan, MD
Clinical Neurophysiology Physician · Longmeadow, MA
Practice location
175 Dwight Rd, Ste 301
Longmeadow, MA 01106
Fax (413) 565-2297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician | 2084N0400X | 35840 (MA) |
| Clinical Neurophysiology Physician Primary | 2084N0600X | 35840 (MA) |
Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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About NPI 1275506578
John Warren Sullivan, MD's National Provider Identifier is 1275506578, issued on Feb 8, 2006. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Longmeadow, MA. The record was last updated on Jul 13, 2026.