Individual
DR. VIKRAM RJ BUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1905
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
257475
MA
Other
Enumeration date
07/14/2010
Last updated
09/16/2014
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