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Organization
SIDHU MEDICAL ASSOC PC
Active
Organization
SIDHU MEDICAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURINDERPAL K SIDHU MD (MD)
(508) 473-2176
Entity
Organization
Contact information
Practice address
211 WEST ST, SUITE 1, MILFORD, MA 01757
(508) 473-2176
(508) 473-7395
Mailing address
211 WEST ST, SUITE 1, MILFORD, MA 01757
(508) 473-2176
(508) 473-7395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56299
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116505
—
MA
01
—
J08998
BLUE SHIELD
MA
Enumeration date
01/21/2009
Last updated
02/17/2009
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