Individual
VIRGINIA S KHARASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 783-0475
(617) 779-1239
Mailing address
PO BOX 35825, BRIGHTON, MA 02135-0014
(617) 783-0475
(617) 779-1239
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
58960
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
58960
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055736
—
MA
Enumeration date
07/27/2005
Last updated
08/29/2007
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