Organization
SUBHASH C. GULATI, MD , FACS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHASH C. GULATI MD (PRESIDENT)
(508) 755-0770
Entity
Organization
Contact information
Practice address
291 LINCOLN ST, SUITE 204, WORCESTER, MA 01605-3643
(508) 755-0770
Mailing address
291 LINCOLN ST, SUITE 204, WORCESTER, MA 01605-3643
(508) 755-0770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48512
MA
2086S0129X
Vascular Surgery Physician
48512
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9761012
—
MA
Enumeration date
09/28/2006
Last updated
03/12/2013
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