Individual
DR. MADHAV SUKUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
55 LAKE AVENUE NORTH, WORCESTER, MA 01655
(508) 334-0605
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
287058
MA
Other
Enumeration date
03/31/2014
Last updated
06/25/2023
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