Kevin P. Sullivan, Md Pc

LBN: Kevin P. Sullivan, Md Pc
Kevin P. Sullivan, Md Pc is an health care organization with primary practice located at 24 Newton St , Southborough MA 01772-1215. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Kevin P. Sullivan, Md Pc can be contacted via phone (508) 481-4700, or through Sullivan, Kevin P via phone (508) 481-4700.

Contact Information

Primary practice address
24 Newton St Southborough MA 01772-1215
Phone: (508) 481-4700
Fax: (508) 481-2150
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Kevin P Doctor of Medicine (MD)
Phone: (508) 481-4700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 156166 Massachusetts

Profile Details

NPI number 1235127895
LBN Legal business name Kevin P. Sullivan, Md Pc
DBA Doing business as
Authorized official Sullivan, Kevin P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235127895 NPPES
Massachusetts Other 80597 HPHC
Massachusetts MEDICAID 9751840 HPHC
Massachusetts Other 156166 HPHC

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