Individual
DR. SUMAN SRINIVASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, 5LON207, BOSTON, MA 02114-2621
(617) 726-1585
Mailing address
55 FRUIT ST, 5LON207, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258425
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
258425
MA
Other
Enumeration date
06/20/2007
Last updated
11/17/2014
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