Individual
DR. PHAVALAN RAJENDRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCPC
Contact information
Practice address
330 BROOKLINE AVENUE, PALMER 127, BOSTON, MA 02215
(617) 632-8980
(617) 632-8920
Mailing address
165 CAMBRIDGEPARK DR UNIT 452, CAMBRIDGE, MA 02140-2497
(781) 460-1323
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
292405
MA
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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