Individual
ANUPA MANJUNATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
Mailing address
300 BROADWAY, SOMERVILLE, MA 02145-2935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
02/21/2021
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