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1124301304
SHRUTI PATHAK
BROCKTON, MA
NPI
1124301304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA 259344)
Enumeration Date
2011-09-23
Last Update Date
2014-09-30
Business Address
-- SHRUTI PATHAK MD
63 MAIN ST SUITE 1
BROCKTON, MA 02301-4042
Phone number: 508-559-6699
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Mailing Address
-- SHRUTI PATHAK MD
63 MAIN ST
BROCKTON, MA 02301-4042
Phone number: 508-559-6699
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