Bruce E. Sullivan
Oral and Maxillofacial Surgeon
145 Railroad Ave
Norwood
, Massachusetts 02062-3525
Bruce E. Sullivan
Oral and Maxillofacial Surgeon
145 Railroad Ave
Norwood
, Massachusetts 02062-3525
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Bruce E. Sullivan
- 145 Railroad Ave
- Norwood, MA
- Zip : 02062-3525
- Phone :
Second Address
- Bruce E. Sullivan
- 145 Railroad Ave
- Norwood, MA
- Zip : 02062-3525
- Phone : (781) 551-9434
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 17364 | MA |
National Provider Identifier
| NPI | 1073690632 |
|---|---|
| Provider Name | Bruce E. Sullivan |
| First Address | Norwood, MA 02062-3525 |
| Second Address | Norwood, MA 02062-3525 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0277401 | (05) | MA |
| U33801 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.