Individual
SHARON S. VUPPULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MASSACHUSETTS AVE., CROSSTOWN BLDG FL 7, BOSTON, MA 02118
(617) 414-4841
Mailing address
BMC PROVIDER ENROLLMENT OFFICE, 960 MASSACHUSETTS AVE,.2ND FLOOR, BOSTON, MA 02118
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
292757
MA
2080P0208X
Pediatric Infectious Diseases Physician
292757
MA
Other
Enumeration date
05/22/2014
Last updated
04/17/2024
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