Individual
THOMAS SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 FARMS DR, BURLINGTON, MA 01803-3748
(419) 708-0867
Mailing address
816 FARMS DR, BURLINGTON, MA 01803-3748
(419) 708-0867
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
215956
MA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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