Individual
SUBRAMANYAN JAYASANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74 COUNTRY DR, WESTON, MA 02493-1165
(781) 891-7922
Mailing address
74 COUNTRY DR, WESTON, MA 02493-1165
(781) 891-7922
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34029
MA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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