Individual
REKHA SELVANAAYAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 BROADWAY, SAUGUS, MA 01906-3210
(781) 233-1450
Mailing address
1069 BROADWAY, SAUGUS, MA 01906-3210
(781) 233-1450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11019389A
IN
207Q00000X
Family Medicine Physician
Primary
283151
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
05/14/2021
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