Individual
DR. KIRANA WEERATNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6245
(978) 630-5012
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6245
(978) 630-5012
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36988
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060781
—
MA
Enumeration date
04/07/2008
Last updated
01/26/2010
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