Individual provider · Type 1 NPI
Sullivan McIntosh Smith, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Burlington, MA
Practice location
41 Mall Rd
Burlington, MA 01805-3328
Mailing address
PO Box 24520
New York, NY 10087-3720
Other practice locations
- 2160 S 1st Ave, Maywood, IL 60153-3328 · (781) 635-5061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 125.074394 (IL) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary | 207YX0007X | 1021889 (MA) |
Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…
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About NPI 1851852560
Sullivan McIntosh Smith, MD's National Provider Identifier is 1851852560, issued on Mar 26, 2019. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Burlington, MA. The record was last updated on Jun 24, 2025.