Individual
BALACHUNDHAR SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S, M.D.
Contact information
Practice address
22 PROSPECT HILL RD, LEXINGTON, MA 02421-6910
(617) 754-2675
Mailing address
22 PROSPECT HILL RD, LEXINGTON, MA 02421-6910
(617) 754-2675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
216718
MA
Other
Enumeration date
03/29/2006
Last updated
09/13/2007
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