Sullivan, Peter

Sullivan, Peter is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Sullivan, Peter can be contacted via phone (508) 334-3068.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Phone: (508) 334-3068
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1013020 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 1013020 Massachusetts

Profile Details

NPI number 1538664016
LBN Legal business name Sullivan, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated Jul 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538664016 NPPES
Massachusetts MEDICAID 110145963A

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