Individual
DR. KAVITHA GAZULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
529 MAIN ST STE B, ACTON, MA 01720-3934
(978) 635-1800
(978) 635-1801
Mailing address
529 MAIN ST STE B, ACTON, MA 01720-3965
(978) 635-1800
(978) 635-1801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216845
MA
207V00000X
Obstetrics & Gynecology Physician
216845
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110035994A
—
MA
Enumeration date
01/06/2006
Last updated
02/19/2020
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