Individual
THORALF M SUNDT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 643-9745
(617) 726-5804
Mailing address
55 FRUIT STREET, COX 630, BOSTON, MA 02114
(617) 643-9745
(617) 726-5804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
44107
MN
208600000X
Surgery Physician
56651
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
56651
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023740000
—
MN
Enumeration date
02/13/2006
Last updated
02/11/2019
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