Individual
VEDAVANI TIRUVEEDHULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, APT 204, BOSTON, MA 02135-2907
(617) 789-3000
Mailing address
3 HOSPITAL PLZ, STE 302, OLD BRIDGE, NJ 08857-3095
(732) 360-4077
(732) 360-4078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
264958
MA
Other
Enumeration date
06/30/2015
Last updated
01/06/2020
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