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O'SULLIVAN PLASTIC SURGERY PC NPI 1821249996


NPI Information

NPI: 1821249996
Provider Name: O'SULLIVAN PLASTIC SURGERY PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
14 DENTON RD
WELLESLEY, MA
ZIP 02482
Phone: (781) 235-1007
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O'SULLIVAN PLASTIC SURGERY PC is a plastic and reconstructive surgery surgery in Wellesley, MA. The provider is a surgeon who specializes in plastic and reconstructive surgery. O'SULLIVAN PLASTIC SURGERY PC NPI is 1821249996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 DENTON RD
WELLESLEY, MA
ZIP 02482
Phone: (781) 235-1007
Fax: (781) 235-0006

The provider's authorized official is Kimberly Lloyd Osullivan .
The authorized official title is DR. OWNER/PRESIDENTOwner/president and has the following contact phone number (781) 235-1007.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/7/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery157703MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D77481MEDICARE UPINMASSACHUSETTS
20108961MEDICAIDMASSACHUSETTS
3J18967OTHERBCBS OF MA
4A28752MEDICARE PIN

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: 4/28/2024

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