Individual
DR. NEELAKANTAN SUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, CLN 3, BOSTON, MA 02114-2696
(617) 724-3269
(617) 726-7536
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044137
TUFTS HEALTH PLAN
MA
05
—
2096757
—
MA
01
—
J02558
BCBS MA
MA
Enumeration date
12/05/2005
Last updated
07/08/2007
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