Individual
GUNARDI NYOTO IRAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
162 MAIN ST, NORTHBOROUGH, MA 01532-1930
(508) 770-6701
(508) 770-6702
Mailing address
171 MAIN ST STE 203B, ASHLAND, MA 01721-1187
(508) 881-3029
(508) 881-1752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
269613
MA
Other
Enumeration date
07/09/2013
Last updated
01/26/2026
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