TAYLOR AND SULLIVAN PLASTIC SURGERY NPI 1376072116

NPI Information

  • NPI: 1376072116
  • Provider Name: TAYLOR AND SULLIVAN PLASTIC SURGERY
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 300 MOUNT AUBURN ST STE 304
    CAMBRIDGE, MA
    ZIP 02138
  • Phone: (617) 492-0620

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NPI Details

TAYLOR AND SULLIVAN PLASTIC SURGERY is a plastic surgery in Cambridge, MA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. TAYLOR AND SULLIVAN PLASTIC SURGERY NPI is 1376072116. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 MOUNT AUBURN ST STE 304
CAMBRIDGE, MA
ZIP 02138-665
Phone: (617) 492-0620
Fax: (617) 492-0631

The provider's authorized official is Stephen R Sullivan .
The authorized official title is Partner and has the following contact phone number (617) 492-0620.

The enumeration date for this NPI number is 6/6/2017 and was last updated on 9/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11154412906MEDICAIDWASHINGTON
21144309006MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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