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Individual

DR. KALYANI THANGARAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090
(781) 407-7713
Mailing address
68 N MAIN ST, CARVER, MA 02330-1128
(508) 747-7813
(508) 747-7256

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46471
MA
208VP0014X
Interventional Pain Medicine Physician
46471
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6181198
MA
Enumeration date
07/21/2005
Last updated
08/01/2018
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