Individual
VIJAY R HEGDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 WYMAN ST, UNIT #1, JAMAICA PLAIN, MA 02130-1927
(410) 477-9309
Mailing address
40 WYMAN ST, UNIT #1, JAMAICA PLAIN, MA 02130-1927
(410) 477-9309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227877
MA
207SG0201X
Clinical Genetics (M.D.) Physician
227877
MA
Other
Enumeration date
07/17/2006
Last updated
07/05/2013
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