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NPI Code Detail

MEDICARE: SONAL ULLMAN MD

MEDICARE: SONAL ULLMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician224754MA

General Provider Information

NPI Number : 1578597233
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONAL ULLMAN MD
Provider Business Mailing Address
First Line : 17 OAK ST
Second Line :
City : NEEDHAM
State : MA
Zip : 02492-2470
Country : US
Telephone Number : 978-444-6460
Fax Number :
Provider Business Practice Location Address
First Line : 17 OAK ST
Second Line :
City : NEEDHAM
State : MA
Zip : 02492-2470
Country : US
Telephone Number : 781-444-6460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 06/30/2009

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