Individual
DR. SUNNY SURESH INTWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DEPARTMENT OF CARDIOLOGY, BOSTON, MA 02118
(401) 626-7170
Mailing address
81 VINCENT AVE, NORTH PROVIDENCE, RI 02904-4938
(401) 626-7170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061501
IL
207RC0000X
Cardiovascular Disease Physician
Primary
293545-1
NY
Other
Enumeration date
06/14/2012
Last updated
05/24/2018
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