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Individual

AVINESH AGARWALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-9338
Mailing address
1146 LITCHFIELD LN, BARTLETT, IL 60103-1677
(630) 981-4432

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A194041
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/07/2019
Last updated
04/29/2025
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