Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 81585 | MA |
NPI | 1053368324 |
---|---|
Provider Name | Dr. Rebecca Osullivan-Hunnewell |
First Address | Wellesley, MA 02481-6219 |
Second Address | Wellesley, MA 02481-6219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 22/02/2013 |