Individual
JOSNA ADUSUMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 PRESCOTT ST, WORCESTER, MA 01605-2610
(508) 793-4900
(508) 793-4904
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
238088
MA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
238088
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087632A
—
MA
Enumeration date
05/29/2007
Last updated
05/22/2012
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