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Individual

DR. NAVEEN PATTISAPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
41 MALL RD, BURLINGTON, MA 01805-4178
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1015880
MA
207X00000X
Orthopaedic Surgery Physician
A177924
CA

Other

Enumeration date
05/11/2017
Last updated
10/26/2023
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