Individual
EI EI PHYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 COCHITUATE RD STE 101, FRAMINGHAM, MA 01701-4608
(508) 628-9660
(508) 628-9668
Mailing address
4315 45TH ST APT 6B, SUNNYSIDE, NY 11104-2368
(347) 832-9722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
278281
MA
Other
Enumeration date
06/21/2016
Last updated
12/20/2021
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