Individual
BINU PATHROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-4169
(978) 466-4164
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226892
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130149
—
MA
01
—
9771476
MEDICAID GROUP
—
01
—
M20928
MEDICARE GROUP
—
Enumeration date
01/04/2006
Last updated
10/27/2020
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