Kevin P. Sullivan, Md Pc

NPI 1235127895 - Physical Medicine & Rehabilitation - 2081P2900X

NPI Details
NPI 1235127895
Enumeration Date 10/07/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KEVIN P KEVIN
Position OWNER
Phone (508) 481-4700
Fax (508) 481-2150
Practice Location
24 NEWTON ST
SOUTHBOROUGH MA, 01772-1215, US
Phone (508) 481-4700
Fax (508) 481-2150
Business Location
24 NEWTON ST
SOUTHBOROUGH MA, 01772-1215, US
Phone (508) 481-4700
Fax (508) 481-2150
Toxanomy
Taxonomy Code 2081P2900X
License State Massachusetts
License Number 156166
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According to our database, Kevin P. Sullivan, Md Pc NPI is 1235127895, taxonomy code is 2081P2900X and license number is 156166, license state is located at Massachusetts. Kevin P. Sullivan, Md Pc physically located at 24 Newton St, Southborough MA, 01772-1215. NPI Number 1033115704 has the healthcare provider type.

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1235127895 NPI number is provided on an as is basis without warranty of any kind. 1235127895 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin P. Sullivan, Md Pc are for informational purposes only.