Individual
DEVASENA BALASUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 SECOND AVE, MASS GENERAL WEST, WALTHAM, MA 02451
(781) 487-4350
Mailing address
31 FLETCHER AVE, UNIT 7, LEXINGTON, MA 02420-3700
(781) 862-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233639
MA
Other
Enumeration date
08/05/2007
Last updated
01/14/2010
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