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Individual

DR. MANISH KANTILAL GALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 FRUIT ST, BLAKE 4, BOSTON, MA 02114-2621
(617) 724-6004
Mailing address
55 FRUIT ST, BLAKE 4, BOSTON, MA 02114-2621
(617) 724-6004

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
260363
MA
207RG0100X
Gastroenterology Physician
A105670
CA

Other

Enumeration date
11/05/2007
Last updated
08/01/2014
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