Individual
DR. NEAL K LAKDAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL - CARDIOVASCULAR DIVISION, BOSTON, MA 02115-6110
(857) 307-4000
(617) 264-5265
Mailing address
111 CYPRESS ST, BRIGHAM AND WOMEN'S HOSPITAL PHYSICIANS ORGANIZATION, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
223873
MA
207RC0000X
Cardiovascular Disease Physician
Primary
223873
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235101890
—
MA
Enumeration date
02/07/2006
Last updated
04/30/2012
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