Dr. John L Sullivan
M.D. | Pediatric Allergy-Immunology | Male
Dr. John L Sullivan, M.D. is a Worcester, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. John L Sullivan is
55 Lake Ave N, Department Of Pediatric Allergy & Immunology, Worcester, Massachusetts - 01655-0002. He can be contacted on phone at
508-856-1572 and fax number 508-856-5004.
Dr. John L Sullivan is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John L Sullivan is
1821072547 which was assigned by NPPES on 06 Dec, 2005 and it was last updated on 09 Nov, 2020.
Dr. John L Sullivan license number is
42650 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Massachusetts.
Dr. John L Sullivan specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. John L Sullivan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Dr. John L Sullivan |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. John L Sullivan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Lake Ave N, Department Of Pediatric Allergy & Immunology
Worcester, MA, 01655-0002
United States |
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| Phone Number : | 508-856-1572 |
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| Fax Number : | 508-856-5004 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1821072547 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Dec, 2005 |
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| Last Updated On : | 09 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John L Sullivan are as mentioned. Primary taxonomy code for Dr. John L Sullivan, M.D. is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 42650 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John L Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2061902 | MEDICAID | MA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jsullivan85779@UmassMemorial.direct-ci.com
| No affiliation |
|
| 55 LAKE AVE N, DEPARTMENT OF PEDIATRIC ALLERGY & IMMUNOLOGY
WORCESTER, MA, 01655-0002
United States |
FHIR
(FHIR URL) | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| No affiliation |
|
| 55 LAKE AVE N, DEPARTMENT OF PEDIATRIC ALLERGY & IMMUNOLOGY
WORCESTER, MA, 01655-0002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 415348
Boston, MA, 02241-0001
United States |
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| Phone Number : | 800-225-8885 |
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| Fax Number : | 508-334-1977 |
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Business Location:
Patients can refer following map for directions to
Dr. John L Sullivan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.