Individual
SOWMYA REDDY THADISINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 MAIN ST STE 214, MEDFORD, MA 02155-4530
(781) 391-3885
(781) 391-6224
Mailing address
101 MAIN ST STE 214, MEDFORD, MA 02155-4530
(781) 391-3885
(781) 391-6224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
249259
MA
Other
Enumeration date
07/31/2007
Last updated
12/02/2019
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