Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN WARREN SULLIVAN, MD
ActiveJOHN WARREN SULLIVAN, MD is a Clinical Neurophysiology healthcare provider located in LONGMEADOW, Massachusetts. NPI 1275506578 is currently active in the NPPES registry. Verify at CMS.
Clinical Neurophysiology · LONGMEADOW, MA
Registration Details
- NPI Number
- 1275506578
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2006 (20.538806561571 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
35840 (MA)35840 (MA)
Practice Information
- Address
-
175 DWIGHT RDSTE 301LONGMEADOW, MA, 01106Browse MA providers · Browse ZIP 01106
- Phone
- 4137374746
- Fax
- 4135652297
- Primary Specialty
-
Clinical Neurophysiology
2084N0600X
- Additional Specialty
- Clinical Neurophysiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.