Individual
MRS. GAYATHRY SOORIYAKUMAR NENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
500 SALEM ST, WILMINGTON, MA 01887-1200
(978) 988-6200
Mailing address
20 CHILD ST APT 608, CAMBRIDGE, MA 02141-1774
(339) 237-1524
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
267619
MA
Other
Enumeration date
06/08/2016
Last updated
10/29/2019
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