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

DR. JOHN L SULLIVAN, M.D.

Active

DR. JOHN L SULLIVAN, M.D. is a Pediatric Allergy/Immunology healthcare provider located in WORCESTER, Massachusetts. NPI 1821072547 is currently active in the NPPES registry. Verify at CMS.

Pediatric Allergy/Immunology · WORCESTER, MA

Registration Details

NPI Number
1821072547
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2005 (20.707663930485 yrs)
Last Updated
Nov 9, 2020
License
42650 (MA)

Practice Information

Address
55 LAKE AVE N
DEPARTMENT OF PEDIATRIC ALLERGY & IMMUNOLOGY
WORCESTER, MA, 016550002
Browse MA providers · Browse ZIP 01655
Phone
5088561572
Fax
5088565004
Primary Specialty
Pediatric Allergy/Immunology
2080P0201X

Other Pediatric Allergy/Immunology Providers in WORCESTER, MA

Name Credential NPI
DR. RUMALI S. MEDAGODA M.D. 1396882536
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.