Individual
DORAIRAYU THAVASEELAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARITAS HOLY FAMILY HOSPITAL, 70 EAST ST., METHUEN, MA 01844
(978) 687-0151
Mailing address
60 EAST ST, SUITE 400, METHUEN, MA 01844-4500
(978) 689-4601
(978) 689-3096
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44851
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150665
—
MA
01
—
044851
TUFT
—
05
—
30005578
—
NH
01
—
B26251
MASS BCBS
—
Enumeration date
07/26/2005
Last updated
07/08/2007
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