Organization
O'SULLIVAN PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY LLOYD OSULLIVAN MD (DR. OWNER/PRESIDENT)
(781) 235-1007
Entity
Organization
Contact information
Practice address
14 DENTON RD, WELLESLEY, MA 02482
(781) 235-1007
(781) 235-0006
Mailing address
P.O. BOX 129, DANVERS, MA 01923
(978) 762-4888
(978) 762-3922
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
157703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108961
—
MA
01
—
J18967
BCBS OF MA
—
Enumeration date
10/07/2008
Last updated
10/07/2008
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