Organization
CANCER SURVIVORSHIP MEDICAL PC
Active
Organization
CANCER SURVIVORSHIP MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI JAIMINI PATEL D.O. (PRESIDENT)
(917) 819-6922
Entity
Organization
Contact information
Practice address
1 BROADWAY STE 14, CAMBRIDGE, MA 02142-1187
(917) 819-6922
(888) 265-4719
Mailing address
1 BROADWAY STE 14, CAMBRIDGE, MA 02142-1187
(917) 819-6922
(888) 265-4719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
06/27/2023
Last updated
08/04/2026
Update your record
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