Individual
ANUJA KHETTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 CENTRE STREET, BOSTON, MA 02132
(617) 522-3100
(617) 522-6366
Mailing address
2020 CENTRE STREET, BOSTON, MA 02132
(617) 522-3100
(617) 522-6366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
275240
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110160017A
—
MA
Enumeration date
04/26/2015
Last updated
09/04/2020
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