Individual
DR. VIDYA JAYAWARDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6455
Mailing address
1400 VFW PARKWAY, # 128 SPINAL CORD INJURY UNIT, VA MEDICAL CENTER, WEST ROXBURY, MA 02132
(857) 203-6588
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
0101226801
VA
Other
Enumeration date
05/07/2008
Last updated
09/30/2010
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