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Individual

DR. MITHUN S. NALLARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23 WARREN AVENUE, SUITE #100, WOBURN, MA 01801-4979
(781) 933-1198
(781) 933-9246
Mailing address
P.O. BOX 760, WINCHESTER, MA 01890-4260
(781) 756-7273
(781) 721-0725

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241559
MA
207R00000X
Internal Medicine Physician
Primary
243569
MA

Other

Enumeration date
09/24/2009
Last updated
03/01/2011
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