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Individual

MANANA KVEZERELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
800 WASHINGTON ST, BOX 802, BOSTON, MA 02111-1552
(617) 636-5829
(617) 636-8302
Mailing address
800 WASHINGTON STREET, BOX 802, BOSTON, MA 02111-1533
(617) 636-5829
(617) 636-8302

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
252734
MA

Other

Enumeration date
09/19/2012
Last updated
09/19/2012
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