Individual
PREM MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3431
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1013818
MA
Other
Enumeration date
04/03/2020
Last updated
08/27/2025
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