Individual
GEORGE JOSEPH KAVALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
171 PILGRIM RD # LIBBY2, BOSTON, MA 02215-5332
(617) 632-9880
Mailing address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 741-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285889
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2020
Last updated
04/15/2024
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