Individual
DR. SUSHMA BOPPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13 GRIGGS TER, BROOKLINE, MA 02446-4702
(631) 327-4841
Mailing address
13 GRIGGS TER, BROOKLINE, MA 02446-4702
(631) 327-4841
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
199972
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
236771
MA
Other
Enumeration date
08/18/2005
Last updated
10/22/2024
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