Sandra J Sullivan in Burlington - Physician Assistant

Sandra J Sullivan - NPI 1003967407

Sandra J Sullivan is a Physician Assistant in Burlington, Massachusetts. Sandra J Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sandra J Sullivan is 1003967407. The last update date is 2021-04-14.

Sandra J Sullivan's current location address is 41 Mall Rd, Burlington, Massachusetts. You can contact this provider via phone number 7817448000. The mailing address for Sandra J Sullivan is 41 Mall Rd, Burlington, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra J Sullivan
Address 41 Mall Rd, Burlington, Massachusetts
Phone Number 7817448000
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1003967407
Provider Enumeration Date 2007-01-15
Last Updated Date 2021-04-14

Provider Mailing Address Detail

Address 41 Mall Rd
City Burlington
State Massachusetts (MA)
Post Code 18050001
Phone Number 7817448000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 589
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Sandra J Sullivan

What is the unique identifier code issued to Sandra J Sullivan by the Centers for Medicare & Medicaid Services (CMS)?

The Sandra J Sullivan has been assigned the NPI (National Provider Identifier) 1003967407. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Sandra J Sullivan is geographically located?

The Sandra J Sullivan is physically situated at the following location: 41 Mall Rd, Burlington, MA, 18050001.

What is Sandra J Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sandra J Sullivan is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Sandra J Sullivan receive its 1003967407 assignment from the Centers for Medicare & Medicaid Services?

The Sandra J Sullivan was assigned its 1003967407 by the Centers for Medicare & Medicaid Services on 2007-01-15.

As of what date was the information regarding Sandra J Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sandra J Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-14.

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