Individual
DHIREN K. SUTARIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 WOODLAND RD STE 213, STONEHAM, MA 02180
(781) 662-7990
(781) 665-0391
Mailing address
3 WOODLAND RD STE 213, STONEHAM, MA 02180
(781) 662-7990
(781) 665-0391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52807
STATE LICENCE
MA
05
—
9777229
—
MA
Enumeration date
02/08/2006
Last updated
07/08/2007
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