Individual
DR. RAVIKUMAR BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, MGH, REPRODUCTIVE ENDOCRINE UNIT, BHX5, BOSTON, MA 02114-2621
(617) 726-8432
(617) 726-5357
Mailing address
55 FRUIT ST, MGH, REPRODUCTIVE ENDOCRINE UNIT, BHX5, BOSTON, MA 02114-2621
(617) 726-8432
(617) 726-5357
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
250321
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4694315
ZZ
Other
Enumeration date
12/17/2011
Last updated
09/27/2012
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