Individual
KRISTON A GANGULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 CAMBRIDGE ST, CRP 575, BOSTON, MA 02114-2743
(617) 726-1450
Mailing address
20 PEARSON RD, UNIT A, SOMERVILLE, MA 02144-1314
(617) 519-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
228093
MA
Other
Enumeration date
07/07/2006
Last updated
04/12/2010
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