THOMAS SCULLY
NPI 1609043991
Registered Nurse - Critical Care Medicine in Burlington, MA
Active since May 15, 2008
About Thomas Scully NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS SCULLY (NPI 1609043991) is an individual critical care medicine provider in Burlington, Massachusetts, licensed in Massachusetts (215956) and active in the NPI registry since May 2008.
NPPES Registry Identity
NPI1609043991
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameTHOMAS SCULLY
Location Address816 FARMS DRBurlington, MA 01803-3748
Mailing Address816 Farms DrBurlington, MA 01803-3748 · (419) 708-0867
Phone(419) 708-0867
Sole ProprietorNo
Enumeration DateMay 15, 2008
✔ NPI 1609043991 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in MA · 215956
816 FARMS DR, Burlington, MA 01803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609043991, enumerated as an "individual" on May 15, 2008.
The provider is located at 816 FARMS DR BURLINGTON, MA 01803 and the phone number is (419) 708-0867.
Registered Nurse with taxonomy code 163WC0200X and a focus in Critical Care Medicine.
