Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW DALEY SULLIVAN, PA

Active

MR. MATTHEW DALEY SULLIVAN, PA is a Physician Assistant healthcare provider located in BROCKTON, Massachusetts. NPI 1700884913 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BROCKTON, MA

Registration Details

NPI Number: 1700884913
Provider Type: Individual
Gender: Male
NPI Issued: Jul 12, 2005 (20.945453788131 yrs)
Last Updated: Jun 26, 2008
License: 1141 (MA)

Practice Information

Address: 830 OAK ST

125E

BROCKTON, MA, 023011168
Browse MA providers · Browse ZIP 02301
Phone: 5085881505
Fax: 5085881508
Primary Specialty: Physician Assistant
363A00000X

Other Physician Assistant Providers in BROCKTON, MA

Name	Credential	NPI
SHELDON EHRENZWEIG	PA	1265422232
THOMAS J LYNCH JR.	PA	1497725584
MR. DENNI J. WOODMANSEE	PA-C	1356301329
DAVID J SUTTER	PA	1144288804
RODNEY LARCOM	PA	1467483008
RYAN MATTHEW O'GOWAN	PA-C	1184659385

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.