Organization
SHENBAGAVALI RAMASWAMI, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHENBAGAVALLI RAMASWAMI MD (PRESIDENT)
(781) 585-9522
Entity
Organization
Contact information
Practice address
830 OAK ST, STE 102W, BROCKTON, MA 02301-1168
(781) 585-9522
(781) 585-9544
Mailing address
830 OAK ST, STE 102W, BROCKTON, MA 02301-1168
(781) 585-9522
(781) 585-9544
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
51635
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051635
TUFTS
MA
01
—
13148
HARVARD PILGRIM HEALTHCAR
MA
05
—
3007421
—
MA
01
—
J05614
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/29/2006
Last updated
08/22/2020
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