Individual
DR. GANDHAR KIRAN DATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-5440
Mailing address
21 CHARLES ST APT 207B, CAMBRIDGE, MA 02141-2366
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
3021026
MA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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