Individual
DOMINIC G AMIRTHARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 E CONCORD ST, EVANS 124, BOSTON, MA 02118-2307
(617) 638-6500
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233120
MA
Other
Enumeration date
04/30/2008
Last updated
11/18/2010
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