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Individual
BRENDAN TIMOTHY O'SULLIVAN
Active
Individual
BRENDAN TIMOTHY O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1025893
MA
286500000X
Military Hospital
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
05/29/2026
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