Individual
RAJ GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST, YAW 7E-7302, BOSTON, MA 02114-2621
(617) 726-5130
Mailing address
343 GREENDALE AVE, NEEDHAM, MA 02494-2021
(617) 359-1129
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
250676
MA
390200000X
Student in an Organized Health Care Education/Training Program
241637
MA
Other
Enumeration date
07/22/2009
Last updated
03/31/2016
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