Individual provider · Type 1 NPI

William J. Sullivan

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1942507546 Active

Practice location

142 Crescent St, 2
Brockton, MA 02302-3104

Call (508) 941-0005 Map

Mailing address

95 Berkeley St, Suite 6
Boston, MA 02116-6230

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942507546

William J. Sullivan's National Provider Identifier is 1942507546, issued on Feb 16, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Feb 16, 2011.