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Organization

MIDDLESEX GASTEROENTOLOGY PC

Active
Parent organization
MIDDLESEX GASTEROENTOLOGY PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIDDLESEX GASTEROENTOLOGY PC
Authorized official
RAJ DEVARAJAN MD (PRESIDENT)
(978) 429-2010
Entity
Organization

Contact information

Practice address
45B DISCOVERY WAY, ACTON, MA 01720-4482
(978) 429-2010
(978) 264-1935
Mailing address
45B DISCOVERY WAY, ACTON, MA 01720-4482
(978) 429-2010
(978) 264-1935

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
07/20/2018
Last updated
07/20/2018
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