Individual
SANJAY RAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8230
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
82168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061411A
—
MA
Enumeration date
01/04/2006
Last updated
02/14/2025
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