Individual
PRATEEK C GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2800
Mailing address
55 FRUIT ST # 425, BOSTON, MA 02114-2696
(617) 726-2800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3016640
MA
Other
Enumeration date
02/13/2021
Last updated
04/17/2024
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