Organization
SEPULVEDA & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBASTIAN G SEPULVEDA (CEO)
(978) 458-2005
Entity
Organization
Contact information
Practice address
9 NORTH RD, SUITE 101, CHELMSFORD, MA 01824-2755
(978) 458-2005
Mailing address
9 NORTH ROAD, SUITE 101, CHELMSFORD, MA 01824-2710
(978) 458-2005
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9751581
—
MA
01
—
M18978
BLUE CROSS
MA
01
—
M21683
MEDICARE GROUP
MA
Enumeration date
06/29/2007
Last updated
08/08/2012
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