Trustin Roy Ennacheril MD

NPI 1043274509 - Internal Medicine - 207R00000X

NPI Details
NPI 1043274509
Gender Male
Enumeration Date 04/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
BUL 148
BOSTON MA, 02114, US
Phone (617) 726-3734
Fax (617) 726-6878
Business Location
PO BOX 9142
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0287
Fax (617) 726-2894
Taxonomy Code 207R00000X
License State Massachusetts
License Number 223914
Remove 1043274509 NPI Number

According to our database, Dr. Trustin Roy Ennacheril MD NPI is 1043274509, taxonomy code is 207R00000X and license number is 223914, license state is located at Massachusetts. Trustin Roy Ennacheril MD physically located at 55 Fruit Street, Boston MA, 02114. NPI Number Trustin Roy Ennacheril MD has the Individual type.

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1043274509 NPI number is provided on an as is basis without warranty of any kind. 1043274509 is maintained by the National Plan & Provider Enumeration System. The contents of Trustin Roy Ennacheril MD are for informational purposes only.