Individual
CAMERON M GOVONLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1244 BROADWAY, RAYNHAM, MA 02767-1973
(508) 824-0035
(508) 823-6127
Mailing address
1244 BROADWAY, RAYNHAM, MA 02767-1973
(508) 824-0035
(508) 823-6127
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
47135
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
47135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176753
—
MA
Enumeration date
07/23/2006
Last updated
01/16/2013
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