Individual
DR. MANJU L SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2005 BAY ST STE 206, TAUNTON, MA 02780-1085
(508) 823-7473
(508) 824-3830
Mailing address
2005 BAY ST STE 206, TAUNTON, MA 02780-1085
(508) 823-7473
(508) 824-3830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
213865
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
213865
MA
Other
Enumeration date
09/27/2005
Last updated
11/01/2018
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