Individual
BASAVA RAJESWARI VALLABHANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1479
Mailing address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225635
MA
Other
Enumeration date
12/25/2005
Last updated
09/24/2013
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