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Individual

DR. SUHASINI R IYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
119 BELMONT ST, DEPARTMENT OF GERIATRICS, WORCESTER, MA 01605-2903
(508) 334-6251
Mailing address
PO BOX 415348, BOSTON, MA 02241

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
153315
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
153315
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3173526
MA
Enumeration date
11/23/2005
Last updated
12/23/2020
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