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Individual

SUJA ROBIN CHERUKARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
164 E UNION ST, ASHLAND, MA 01721-1734
(508) 314-7895
Mailing address
164 E UNION ST, ASHLAND, MA 01721-1734
(508) 314-7895

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN258205
MA
363L00000X
Nurse Practitioner
Primary
RN258205
MA

Other

Enumeration date
01/30/2018
Last updated
11/27/2020
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