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Individual

GOKUL V.R. PRAKASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
575 TURNPIKE ST, NORTH ANDOVER, MA 01845-5924
(978) 682-2310
(978) 682-8206
Mailing address
575 TURNPIKE ST, NORTH ANDOVER, MA 01845-5924
(978) 682-2310
(978) 682-8206

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42433
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2087189
MA
Enumeration date
07/07/2005
Last updated
04/18/2012
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