Active NPIIndividual providerSole proprietor

Antonio E Bullon, MD

Psychiatry & Neurology, Psychiatry in Cambridge, Massachusetts

NPI Number1063527950
Practice location
330 Mount Auburn St, Cambridge, MA 02138-5502
Fax
617-499-5419
Last updated
April 3, 2025

Antonio E Bullon is a Psychiatry & Neurology, Psychiatry based in Cambridge, MA. Antonio E Bullon practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Antonio E Bullon is 1063527950 and holds a License No. 152835 (MA). The current practice location address for Antonio E Bullon is 330 Mount Auburn St, Cambridge, MA 02138-5502 and can be reached out via phone at 617-905-7103 and via fax at 617-499-5419.

Provider Profile Details

NPI Number
1063527950
Provider Name
Antonio E Bullon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
330 Mount Auburn St, Cambridge, MA 02138-5502
Phone Number
617-905-7103
Fax Number
617-499-5419
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 20, 2006
Last Update Date
April 3, 2025
Certification Date
April 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Mount Auburn St
Cambridge, MA 02138-5502
Zip
02138-5502
Phone Number
617-905-7103
Fax Number
617-499-5419
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
47 School St
Hopkinton, MA 01748-2121
City
Hopkinton
State
MA
Zip
01748-2121
Phone Number
617-905-7103
Fax Number
617-499-5419

License Information

License Number (1)
152835
License State (1)
MA
Taxonomy (1)
· 2084P0805X
License Number (2)
152835
License State (2)
MA
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Antonio E Bullon, MD?

The NPI number of Antonio E Bullon, MD is 1063527950. It was assigned on August 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Antonio E Bullon, MD?

Antonio E Bullon, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 152835.

Where does Antonio E Bullon, MD practice?

The practice location is 330 Mount Auburn St, Cambridge, MA 02138-5502. The office can be reached at 617-905-7103 (phone) or 617-499-5419 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063527950 directly on the NPPES registry website.

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