Individual
PADMAJA R ITIKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CHILDREN'S HOSPITAL BOSTON, 300 LONGWOOD AVE. HUNNEWELL 430, BOSTON, MA 02115
(617) 919-2341
Mailing address
19 ALTON CT, UNIT 4, BROOKLINE, MA 02446-6592
(617) 919-2341
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
235255
MA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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