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Individual

SRIDHAR S. IYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HOSPITAL RD, SUITE 1B, LEOMINSTER, MA 01453
(978) 466-4550
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
219581
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110081016A
MA
Enumeration date
08/14/2006
Last updated
11/16/2020
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