Individual
NINA SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8086
(774) 441-8071
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1019072
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
1019072
MA
2080S0012X
Pediatric Sleep Medicine Physician
1019072
MA
Other
Enumeration date
04/09/2015
Last updated
12/09/2025
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