Provider Demographics
NPI:1952669699
Name:HICKEY, SEAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:A
Last Name:HICKEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:55 FRUIT STREET
Mailing Address - Street 2:GRAY BIGELOW 1302
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:617-724-5140
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:BURN ASSOCIATES, BIGELOW 13
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-3712
Practice Address - Fax:617-726-4127
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2023-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2661402086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery