Individual
DR. SANJAY DIVAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258931
MA
207RC0000X
Cardiovascular Disease Physician
Primary
258931
MA
Other
Enumeration date
06/21/2012
Last updated
08/12/2024
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