John S Sullivan is a Allergy in Worcester, Massachusetts. John S Sullivan practices all healthcare services and medical treatments related to Allergy. The NPI Number for John S Sullivan is 1568466324. The last update date is 2008-09-03.
John S Sullivan's current location address is 100 Mlk Jr Blvd, Worcester, Massachusetts. You can contact this provider via phone number 5087571589 and fax number 5087565633. The mailing address for John S Sullivan is 100 Mlk Jr Blvd, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John S Sullivan |
|---|---|
| Address | 100 Mlk Jr Blvd, Worcester, Massachusetts |
| Phone Number | 5087571589 |
| Fax Number | 5087565633 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568466324 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2008-09-03 |
Provider Mailing Address Detail
| Address | 100 Mlk Jr Blvd |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 160812090 |
| Phone Number | 5087571589 |
| Fax Number | 5087565633 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 57446 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200248 | MA | UNITED HEALTH CARE | |
| 57446 | MA | TUFTS HEALTHPLAN | |
| J30252 | MA | BLUE CROSS BLUE SHIELD | |
| 985163 | MA | NETWORK HEALTH | |
| 6189768 | MA | -- | |
| 42923137 | MA | TAX ID GROUP NUMBER | |
| 645387 | MA | HARVARD PILGRIM | |
| 2376607 | MA | AETNA HEALTHCARE | |
| 26920 | MA | CHILDREN'S MEDICAL SECURI | |
| 63777 | MA | FALLON HEALTH PLAN |
Post Comment/ Review Below
What is the John S Sullivan's unique identification number?
The John S Sullivan has been assigned the NPI (National Provider Identifier) Number 1568466324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where John S Sullivan is physically located?
The John S Sullivan is physically situated at the following address: 100 Mlk Jr Blvd, Worcester, MA, 160812090.
What is John S Sullivan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John S Sullivan is Allergy, and the taxonomy code that categorizes this field of expertise is 207Ka0200X.
On what date did the John S Sullivan receive its 1568466324 assignment from the Centers for Medicare & Medicaid Services?
The John S Sullivan was assigned its 1568466324 by the Centers for Medicare & Medicaid Services on 2005-06-09.
As of what date were the details related to John S Sullivan most recently updated or revised?
The information pertaining to John S Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-03.