Sundt, Thoralf M

Sundt, Thoralf M is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Sundt, Thoralf M can be contacted via phone (617) 643-9745.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2696
Phone: (617) 643-9745
Fax: (617) 726-5804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 56651 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 44107 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 56651 Massachusetts

Profile Details

NPI number 1316910037
LBN Legal business name Sundt, Thoralf M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316910037 NPPES
Minnesota MEDICAID 023740000

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