Srinivasa Ramanujan Boora M.D.,

NPI 1124307988 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1124307988
Gender Male
Enumeration Date 08/11/2011
Last Updated 10/20/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1 GENERAL STREET
LAWRENCE MA, 01841, US
Phone (978) 683-4000
Fax
Business Location
1 GENERAL STREEET
LAWRENCE MA, 01841, US
Phone (248) 675-7601
Fax
Toxanomy
Taxonomy Code 390200000X
License State Michigan
License Number 4301099088
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According to our database, Dr. Srinivasa Ramanujan Boora M.D., NPI is 1124307988, taxonomy code is 390200000X and license number is 4301099088, license state is located at Michigan. Srinivasa Ramanujan Boora M.D., physically located at 1 General Street, Lawrence MA, 01841. NPI Number Srinivasa Ramanujan Boora M.D., has the Individual type.

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1124307988 NPI number is provided on an as is basis without warranty of any kind. 1124307988 is maintained by the National Plan & Provider Enumeration System. The contents of Srinivasa Ramanujan Boora M.D., are for informational purposes only.