Provider Demographics
NPI:1295863603
Name:SULLIVAN, WILLIAM F (MED)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:F
Last Name:SULLIVAN
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:91 WASHINGTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1906
Mailing Address - Country:US
Mailing Address - Phone:781-987-1299
Mailing Address - Fax:
Practice Address - Street 1:ADCARE, 14 BEACON STREET
Practice Address - Street 2:801
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108
Practice Address - Country:US
Practice Address - Phone:617-227-2622
Practice Address - Fax:617-227-5447
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)