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Individual

DR. ARAGAM KRISHNARAO SUBRAMANYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 BOLTON ST, 102, MARLBOROUGH, MA 01752-3980
(508) 481-7180
(508) 624-9374
Mailing address
320 BOLTON ST, 102, MARLBOROUGH, MA 01752-3980
(508) 481-7180
(508) 624-9374

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34888
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
034888
ALL OTHER INSURANCES
MA
01
2000000134
HARVARD PILGRIM
MA
05
9720111
MA
01
B28039
BLUE CROSS & BLUES HIELD
MA
Enumeration date
01/08/2007
Last updated
07/08/2007
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