Organization
KEDAR DESHPANDE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEDAR S DESHPANDE MD (OWNER)
(508) 383-1525
Entity
Organization
Contact information
Practice address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1525
Mailing address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
216521
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216521
TUFTS
MA
01
—
231037
HARVARD PILGRIM
MA
05
—
9713573
—
MA
01
—
M18379
BLUE SHIELD
MA
Enumeration date
07/11/2007
Last updated
01/30/2008
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