Organization
CENTER FOR ADVANCED BRAIN AND SPINE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAGUN TULI MD (MANAGER)
(617) 584-1969
Entity
Organization
Contact information
Practice address
67 UNION ST, NATICK, MA 01760-7700
(617) 971-8142
Mailing address
67 UNION STREET, NATICK, MA 01760
(617) 971-8142
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
214058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629290564
NPI TYPE 1
MA
Enumeration date
08/18/2011
Last updated
08/23/2011
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