Individual
JAYASHRI SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-8988
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-8988
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
210570
MA
2084N0400X
Neurology Physician
210570
MA
2084N0600X
Clinical Neurophysiology Physician
210570
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110007481A
—
MA
Enumeration date
09/26/2006
Last updated
10/15/2019
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