National Provider Identifier
John Michael Sullivan, PA-C
John Michael Sullivan, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 525-6550.
Source: public NPPES record, last updated June 16, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1689204356
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 22, 2020
- Last Updated
- June 16, 2020
Practice Location
- 60 Fenwood RD
- Boston, MA 02115-6128
Phone: (617) 525-6550
Specialties
- Physician Assistant (363A00000X)
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Biography
John M. Sullivan, PA-C, MDiv, practices neurology with Brigham and Women’s Hospital, where his clinical interests include critical care neurology, multiple sclerosis, and neuroimaging. His Brigham profile lists physician assistant board certification and appointments in Boston and Jamaica Plain.
Full Record
- NPI
- 1689204356
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- John
- Middle Name
- Michael
- Credential
- PA-C
- Mailing Street Address
- 60 Fenwood RD
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02115-6128
- Mailing Country
- US
- Mailing Phone
- (617) 525-6550
- Practice Street Address
- 60 Fenwood RD
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6128
- Practice Country
- US
- Practice Phone
- (617) 525-6550
- Enumeration Date
- January 22, 2020
- Last Updated
- June 16, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 16, 2020
- Taxonomies
- Physician Assistant (363A00000X)