Individual
NIDHA P. MATTAPPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8560
(781) 744-5398
Mailing address
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8560
(781) 744-5398
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
263545
MA
207VG0400X
Gynecology Physician
Primary
278055
MA
Other
Enumeration date
03/31/2015
Last updated
05/24/2019
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