Individual
DORDANEH EUREKA SUGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-5320
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
295499
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/25/2018
Last updated
07/05/2023
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