Individual
PRODYUT K PODDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W. CUMMINGS PARK, SUITE 4700, WOBURN, MA 01801-6372
(781) 932-6487
(781) 932-6486
Mailing address
340 MAIN STREET, SUITE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6368
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
50729
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076551
—
MA
Enumeration date
07/06/2005
Last updated
12/06/2011
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