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Individual

DEVI VEDULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
680 CENTRE ST, BROCKTON HOSPITAL, BROCKTON, MA 02302-3308
(781) 878-1700
(781) 871-4375
Mailing address
680 CENTRE ST, BROCKTON HOSPITAL, BROCKTON, MA 02302-3308
(781) 878-1700
(781) 871-4375

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
210890
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2137887
MA
Enumeration date
06/01/2006
Last updated
05/27/2015
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