Individual
DAFINA PRUTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
93 CAMPUS AVE, LEWISTON, ME 04240-6030
(207) 777-8542
(207) 777-8576
Mailing address
88 E NEWTON ST, COLLAMORE 7TH FLOOR, BOSTON, MA 02118-2308
(617) 638-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19911
NH
207RC0000X
Cardiovascular Disease Physician
268535
MA
207RC0000X
Cardiovascular Disease Physician
Primary
MD22801
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2013
Last updated
09/27/2019
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