Individual
DR. UJJWAL RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3452
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1014973
MA
207RC0000X
Cardiovascular Disease Physician
324202
LA
207RI0011X
Interventional Cardiology Physician
1014973
MA
207RI0011X
Interventional Cardiology Physician
324202
LA
Other
Enumeration date
03/25/2015
Last updated
09/07/2023
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