Individual
DR. SUVRANU GANGULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
(617) 638-6616
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
230920
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075830A
—
MA
05
—
3087678
—
NH
Enumeration date
02/26/2007
Last updated
04/08/2026
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