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Individual

DR. IRUN BHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-3316
Mailing address
55 FRUIT ST, BLAKE 4, BOSTON, MA 02114-2621
(617) 643-0826

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
260556
MA
207R00000X
Internal Medicine Physician
269145
NY
207RG0100X
Gastroenterology Physician
Primary
273902
MA

Other

Enumeration date
04/23/2010
Last updated
04/17/2018
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