Individual
DR. AMITA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
55 FRUIT ST, FND 202, BOSTON, MA 02114-2621
(617) 724-4254
(617) 724-0046
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-4254
(617) 724-0046
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
216703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003457
—
MA
01
—
216703
TUFTS HEALTH PLAN
MA
01
—
J25927
BCBS MA
MA
Enumeration date
11/18/2005
Last updated
08/21/2012
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