Individual
NR CHANDRASEKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 COLTS XING, CANTON, MA 02021-1367
(617) 285-9780
Mailing address
25 COLTS XING, CANTON, MA 02021-1367
(617) 285-9780
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
150595
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3178579
—
MA
Enumeration date
02/28/2006
Last updated
01/16/2014
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