Individual provider · Type 1 NPI
John L. Sullivan, MD
Pediatric Allergy/Immunology Physician · Worcester, MA
NPI number
1821072547
Active
Practice location
55 Lake Ave N, Department Of Pediatric Allergy & Immunology
Worcester, MA 01655-0002
Fax (508) 856-5004
Mailing address
PO Box 415348
Boston, MA 02241-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Allergy/Immunology Physician Primary | 2080P0201X | 42650 (MA) |
Pediatric Allergy/Immunology Physician: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
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About NPI 1821072547
John L. Sullivan, MD's National Provider Identifier is 1821072547, issued on Dec 6, 2005. The primary taxonomy on file is Pediatric Allergy/Immunology Physician (2080P0201X), and the practice location is in Worcester, MA. The record was last updated on Nov 9, 2020.