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1437394350
SURESH MAMIDALA
WORCESTER, MA
NPI
1437394350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 241829)
Enumeration Date
2008-12-05
Last Update Date
2014-04-10
Business Address
-- SURESH MAMIDALA M.D
123 SUMMER STREET
WORCESTER, MA 01608
Phone number: 508-363-5000
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Mailing Address
-- SURESH MAMIDALA M.D
123 SUMMER STREET
WORCESTER, MA 01608
Phone number: 508-363-5000
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