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OBLI CHETTY MARAGATHA MANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1250 HANCOCK ST, INTERNAL MEDICINE, QUINCY, MA 02169-4339
(617) 774-0840
(617) 774-0882
Mailing address
1250 HANCOCK ST, INTERNAL MEDICINE, QUINCY, MA 02169-4339
(617) 774-0840
(617) 774-0882

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
234649
MA
207Q00000X
Family Medicine Physician
A89147
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A891470
CA
05
2161117
MA
Enumeration date
03/31/2006
Last updated
11/17/2020
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