Individual
DR. ANSU MAMMEN NORONHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, FL 6, SHAPIRO BLDG - GASTROENTEROLOGY, BOSTON, MA 02118
(617) 414-6525
(617) 638-7448
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
226565
MA
207RG0100X
Gastroenterology Physician
Primary
226565
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083854A
—
MA
05
—
3115956
—
NH
Enumeration date
10/04/2006
Last updated
06/28/2024
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