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1528040615
VAMSI KRISHNA MOOTHA
BOSTON, MA
NPI
1528040615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 210078)
Enumeration Date
2005-11-15
Last Update Date
2007-07-08
Business Address
Dr. VAMSI KRISHNA MOOTHA M.D.
185 CAMBRIDGE ST CPZN-5806
BOSTON, MA 02114-2790
Phone number: 617-643-3096
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Mailing Address
Dr. VAMSI KRISHNA MOOTHA M.D.
15 VALENTINE ST UNIT #15
CAMBRIDGE, MA 02139-4032
Phone number: 617-945-9445
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