Individual
JASJYOT K NANRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-8515
(508) 334-6490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
253223
MA
207R00000X
Internal Medicine Physician
48176
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831283720
—
WI
05
—
34653600
—
WI
05
—
PENDING
—
MA
Enumeration date
10/03/2006
Last updated
09/10/2012
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