Individual
UMA R. PHATAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 HARRISON AVENUE, MOAKLEY, SUITE 3400, BOSTON, MA 02118-2905
(617) 414-8060
(617) 414-8457
Mailing address
720 HARRISON AVENUE, DOB 503, BOSTON, MA 02118-2371
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
272638
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
P1208
TX
Other
Enumeration date
08/31/2012
Last updated
02/05/2020
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