National Provider Identifier
Joseph Michael Cullivan, PA-C
Joseph Michael Cullivan, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (617) 732-5500.
Source: public NPPES record, last updated June 09, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1851870968
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- August 09, 2018
- Last Updated
- June 09, 2023
Practice Location
- 75 Francis St
- Boston, MA 02115-6110
Phone: (617) 732-5500
Specialties
- Medical Physician Assistant (363AM0700X)
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Biography
Joseph Michael Cullivan, PA-C, is a Boston-area physician assistant with public Medicare profile data noting a 2018 graduation year and more than eight years of practice experience. He is associated with Jordan Physician Associates and has a reported hospital affiliation with Beth Israel Deaconess Hospital Plymouth.
Full Record
- NPI
- 1851870968
- Entity Type
- Individual
- Last Name
- Cullivan
- First Name
- Joseph
- Middle Name
- Michael
- Credential
- PA-C
- Mailing Street Address
- 75 Francis St
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02115-6110
- Mailing Country
- US
- Mailing Phone
- (617) 732-5500
- Practice Street Address
- 75 Francis St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6110
- Practice Country
- US
- Practice Phone
- (617) 732-5500
- Enumeration Date
- August 09, 2018
- Last Updated
- June 09, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 09, 2023
- Taxonomies
- Medical Physician Assistant (363AM0700X)