Individual
DR. DURAISAMY BALAGURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 WASHINGTON ST, NEMC# 313, BOSTON, MA 02111-1526
(617) 636-7435
Mailing address
750 WASHINGTON ST, NEMC# 313, BOSTON, MA 02111-1526
(617) 636-7435
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
209734
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173380
—
MA
Enumeration date
03/31/2006
Last updated
11/05/2020
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