Organization
WEST SUBURBAN GI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O'SULLIVAN (BUSINESS MANAGER)
(603) 496-2895
Entity
Organization
Contact information
Practice address
28 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 281-0600
Mailing address
28 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 281-0600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/26/2021
Last updated
09/23/2021
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