Deepa Mangalat Gopal M.D.

NPI 1689850752 - Internal Medicine - 207R00000X

NPI Details
NPI 1689850752
Gender Female
Enumeration Date 01/18/2008
Last Updated 08/05/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
732 HARRISON AVE
3RD FLOOR
BOSTON MA, 02118-2309, US
Phone (617) 638-7490
Fax (617) 414-8742
Business Location
720 HARRISON AVE
DOB 503
BOSTON MA, 02118-2371, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 240115
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According to our database, Dr. Deepa Mangalat Gopal M.D. NPI is 1689850752, taxonomy code is 207R00000X and license number is 240115, license state is located at Massachusetts. Deepa Mangalat Gopal M.D. physically located at 732 Harrison Ave, Boston MA, 02118-2309. NPI Number Deepa Mangalat Gopal M.D. has the Individual type.

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1689850752 NPI number is provided on an as is basis without warranty of any kind. 1689850752 is maintained by the National Plan & Provider Enumeration System. The contents of Deepa Mangalat Gopal M.D. are for informational purposes only.