Individual
DR. ANU RADHA PATHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SOUTH ST, SOUTHBRIDGE, MA 01550-4005
(508) 765-2700
(508) 764-2563
Mailing address
85 SOUTH ST, SOUTHBRIDGE, MA 01550-4005
(508) 765-2700
(508) 764-2563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
154034
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3195074
—
MA
Enumeration date
11/23/2005
Last updated
01/17/2012
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