Individual
DR. NANDAKUMAR PONNUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BAY STATE MEDICAL CTR, 759 CHESTNUT STREET, SPRINGFIELD, MA 01199-0001
(413) 794-4326
Mailing address
1350 MAIN ST STE 1300, SPRINGFIELD, MA 01103-6107
(413) 794-4326
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
257197
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
257197
MA
Other
Enumeration date
07/23/2009
Last updated
11/27/2024
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