SURIYA SRIDARAN

WORCESTER, MA
NPI1174367171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA100887)
Additional Taxonomies363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
Enumeration Date2024-06-24
Last Update Date2024-08-27
Business Address
SURIYA SRIDARAN Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-3278
Mailing Address
SURIYA SRIDARAN Physician Assistant
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: