Individual
AMRUTHA BALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 BOLTON ST, MARLBOROUGH, MA 01752-3999
(508) 481-0200
(508) 229-2343
Mailing address
PO BOX 41538, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
277278
MA
207Q00000X
Family Medicine Physician
D71971
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2008
Last updated
10/23/2020
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