Individual
MRIDUL KONTAMWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ESSEX CENTER DR, INTERNAL MEDICINE, PEABODY, MA 01960-2902
(978) 977-4210
(978) 977-4226
Mailing address
2 ESSEX CENTER DR, INTERNAL MEDICINE, PEABODY, MA 01960-2902
(978) 977-4210
(978) 977-4226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
235849
MA
207R00000X
Internal Medicine Physician
4301085241
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159686
—
MA
Enumeration date
07/31/2007
Last updated
11/16/2020
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