Stephen R Sullivan in Cambridge - Plastic Surgery

Stephen R Sullivan - NPI 1154412906

Stephen R Sullivan is a Plastic Surgery in Cambridge, Massachusetts. Stephen R Sullivan practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Stephen R Sullivan is 1154412906. The last update date is 2023-08-10.

Stephen R Sullivan's current location address is 300 Mount Auburn Street, Cambridge, Massachusetts. You can contact this provider via phone number 6174920620 and fax number 6174920631. The mailing address for Stephen R Sullivan is 300 Mount Auburn Street, Cambridge, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen R Sullivan
Address 300 Mount Auburn Street, Cambridge, Massachusetts
Phone Number 6174920620
Fax Number 6174920631
Sole Proprietor N
Credentials M.D., M.P.

NPI Number Detail

NPI Number 1154412906
Provider Enumeration Date 2006-09-27
Last Updated Date 2023-08-10

Provider Mailing Address Detail

Address 300 Mount Auburn Street
City Cambridge
State Massachusetts (MA)
Post Code 2138
Phone Number 6174920620
Fax Number 6174920631

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 233018
Definition:
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 c

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FAQs about Stephen R Sullivan

What is the Stephen R Sullivan's unique identification number?

The Stephen R Sullivan has been assigned the NPI (National Provider Identifier) Number 1154412906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Stephen R Sullivan is geographically located?

The Stephen R Sullivan is physically situated at the following location: 300 Mount Auburn Street, Cambridge, MA, 2138.

What is Stephen R Sullivan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen R Sullivan's area of specialization is Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208200000X.

When was the Stephen R Sullivan's 1154412906 issued?

The Stephen R Sullivan's 1154412906 was issued on 2006-09-27.

As of what date were the details related to Stephen R Sullivan most recently updated or revised?

The information pertaining to Stephen R Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-10.

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