Individual
DR. SASIKALA MANAVALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
253171
MA
Other
Enumeration date
07/23/2012
Last updated
01/20/2022
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