Individual
DR. ANJU NELLISSERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MD
Contact information
Practice address
1066 GRANBY RD, CHICOPEE, MA 01020-1539
(413) 534-4400
Mailing address
1066 GRANBY RD, CHICOPEE, MA 01020-1539
(413) 534-4400
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1859832
MA
Other
Enumeration date
06/26/2017
Last updated
01/03/2026
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