Individual
BALAJI ARUN JOTHISHANKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/MBA
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(941) 545-1226
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1022618
MA
Other
Enumeration date
06/08/2020
Last updated
03/27/2025
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