Individual
DR. PADMA BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 PATRIOT PL, FOXBOROUGH, MA 02035-1375
(508) 718-4010
(508) 718-4011
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
151407
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154971
—
MA
Enumeration date
04/08/2006
Last updated
07/06/2012
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