Individual
DR. BRIAN CHUNG SURJANHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, WANG 5 - GASTROENTEROLOGY, BOSTON, MA 02114
(617) 726-2426
Mailing address
55 FRUIT ST, WANG 5 - GASTROENTEROLOGY, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
288339
MA
Other
Enumeration date
03/27/2016
Last updated
06/28/2022
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