Individual
DR. OM BIJU PANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(929) 434-0651
Mailing address
235 PARK DR APT 14, BOSTON, MA 02215-4720
(929) 434-0651
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3017614
MA
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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