Individual
MATTHEW PETER O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(908) 300-6980
Mailing address
285 BABCOCK ST, BOSTON, MA 02215-1003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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