Individual
SEBASTIAN G SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 NORTH RD, SUITE 101, CHELMSFORD, MA 01824-2755
(978) 458-2005
(978) 452-5975
Mailing address
9 NORTH RD, SUITE 101, CHELMSFORD, MA 01824-2755
(978) 458-2005
(978) 452-5975
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
204365
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022852
NEIGHBORHOOD HEALTH
—
05
—
0168211
—
MA
01
—
1079119
AETNA PCP
—
01
—
3100208
UNITED HEALTH CARE
—
01
—
409950
TUFTS
—
01
—
51894
FALLON
—
01
—
5895545
AETNA SPECIALIST
—
01
—
69813
HARVARD PILGRIM
—
05
—
9751581
—
MA
01
—
J22863
BC
—
01
—
PTAN DD7599
MEDICARE RAILROAD
MA
Enumeration date
11/18/2005
Last updated
02/09/2017
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