Individual
PUJA BANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BADER 203, BOSTON, MA 02115-5724
(617) 355-6363
Mailing address
300 LONGWOOD AVE, BADER 203, BOSTON, MA 02115-5724
(617) 355-6363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
235661
MA
Other
Enumeration date
06/16/2008
Last updated
05/26/2009
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