Individual
DR. NITYA ANANTHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 473-1190
Mailing address
4 FORT WASHINGTON PL, CAMBRIDGE, MA 02139-4843
(201) 926-6490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
257926
MA
390200000X
Student in an Organized Health Care Education/Training Program
BP10039696
TX
Other
Enumeration date
05/29/2011
Last updated
07/30/2015
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