Individual
NEHA SUNIL KWATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(202) 615-1462
Mailing address
119B FISHER AVE, BOSTON, MA 02120-3318
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
259050
MA
2085P0229X
Pediatric Radiology Physician
Primary
259050
MA
2085R0202X
Diagnostic Radiology Physician
259050
MA
Other
Enumeration date
10/07/2011
Last updated
07/07/2014
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