Organization
NORTHEAST INFECTIOUS DISEASES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARUNA KUSAN M.D. (PHYSICIAN)
(678) 376-4252
Entity
Organization
Contact information
Practice address
601 PROFESSIONAL DR # A, SUITE 340, LAWRENCEVILLE, GA 30045-7698
(678) 376-4252
(678) 376-4253
Mailing address
601 PROFESSIONAL DR # A, SUITE 340, LAWRENCEVILLE, GA 30045-7698
(678) 376-4252
(678) 376-4253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056582
GA
Other
Enumeration date
08/24/2007
Last updated
01/31/2008
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