Individual
DR. SUSHRUTA PRUSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 789-3130
Mailing address
125 EDGEWATER RD, HULL, MA 02045-2661
(781) 925-8642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
157558
MA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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