Search › Massachusetts › 363A00000X

Patrick Sullivan, PA

NPI 1972024594 · on the registry since 2017

Practice

Address
110 Liberty St
Brockton, MA 02301
Phone
(508) 894-0400
Organisation at this address
Patricia L Ramanauskas
Brockton Hospital, Inc.
Brockton Hospital, Inc.
Brockton Hospital, Inc.
Fitness Forum Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
138

Additional practice sites

  • 6619 State Highway Route 11, Canton, NY
  • 25 Libby St, Brockton, MA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
NY, MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts