Organization
MASSACHUSETTS NEURO INTERVENTION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAM V.S.R. CHAVALI M.D. (PRESIDENT)
(617) 734-2800
Entity
Organization
Contact information
Practice address
359 KENT ST, BROOKLINE, MA 02446-5443
(617) 734-2800
(617) 734-3900
Mailing address
359 KENT ST, BROOKLINE, MA 02446-5443
(617) 734-2800
(617) 734-3900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
77985
MA
Other
Enumeration date
12/27/2006
Last updated
04/16/2012
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