Individual provider · Type 1 NPI

Carly Elizabeth Sullivan, PA-C

Medical Physician Assistant · Brockton, MA

NPI number 1346124591 Active

Practice location

680 Centre St
Brockton, MA 02302-3395

Call (508) 941-7000 Map

Mailing address

20 Shore Dr
Taunton, MA 02780-1142

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1346124591

Carly Elizabeth Sullivan, PA-C's National Provider Identifier is 1346124591, issued on Aug 1, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brockton, MA. The record was last updated on Aug 1, 2025.