Individual
SULLIVAN MCINTOSH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-3328
(781) 744-8000
Mailing address
PO BOX 24520, NEW YORK, NY 10087-3720
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125.074394
IL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
1021889
MA
Other
Enumeration date
03/26/2019
Last updated
06/24/2025
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