Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | MA6329 | MA |
NPI | 1275748758 |
---|---|
Provider Name | Dr. Michael Sean Sefton |
First Address | Westborough, MA 01581-1250 |
Second Address | Westborough, MA 01581-1017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |