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Individual

DR. VIGNESH SHANMUGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 FRANCIS STREET, BOSTON, MA 02115-6331
(917) 913-8560
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
267721
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
281773
MA

Other

Enumeration date
08/28/2016
Last updated
06/03/2020
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