Individual
KRITHIKA MURUGANANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118-2908
(617) 414-7757
(617) 414-7759
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
255274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110085911A
MA MEDICAID
MA
Enumeration date
04/16/2007
Last updated
05/27/2014
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