Individual
SUGNA DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-4883
(617) 414-6628
Mailing address
6 GREENHOUSE WAY, RANDOLPH, MA 02368-2747
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
80
MA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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