Organization
TAYLOR AND SULLIVAN PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R SULLIVAN MD (PARTNER)
(617) 492-0620
Entity
Organization
Contact information
Practice address
300 MOUNT AUBURN ST STE 304, CAMBRIDGE, MA 02138-5665
(617) 492-0620
(617) 492-0631
Mailing address
300 MOUNT AUBURN ST STE 304, CAMBRIDGE, MA 02138-5665
(617) 492-0620
(617) 492-0631
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144309006
—
MA
05
—
1154412906
—
WA
Enumeration date
06/06/2017
Last updated
09/15/2023
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