Individual
SAILAJA GHANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 582-1212
(617) 278-6983
Mailing address
300 LONGWOOD AVE, ENDERS 9, BOSTON, MA 02115-5724
(617) 919-2341
(617) 730-0260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
247367
MA
208000000X
Pediatrics Physician
LP01371
RI
Other
Enumeration date
06/26/2008
Last updated
01/09/2017
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