Individual
KANWARPREET TANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 ALBANY ST # 6, BOSTON, MA 02118-3549
(617) 638-6525
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN19443
FL
207RG0100X
Gastroenterology Physician
123456
MA
207RG0100X
Gastroenterology Physician
Primary
TRN19443
FL
Other
Enumeration date
03/28/2016
Last updated
05/17/2022
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