Organization
AUBURN PODIATRY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA M SULLIVAN DPM (PARTNER)
(508) 832-6075
Entity
Organization
Contact information
Practice address
48 AUBURN ST, AUBURN, MA 01501-2438
(508) 832-6075
(508) 832-9964
Mailing address
48 AUBURN ST, AUBURN, MA 01501-2438
(508) 832-6075
(508) 832-9964
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
642676
TUFTS GROUP VENDOR NUMBER
MA
05
—
9749730
—
MA
01
—
Y77343
BS GROUP NUMBER
MA
Enumeration date
08/24/2006
Last updated
02/02/2011
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