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1902328255
SUSHMA RAVIRALA
BURLINGTON, MA
NPI
1902328255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MA 1012998)
Enumeration Date
2017-07-07
Last Update Date
2023-12-20
Business Address
SUSHMA RAVIRALA MBBS
41 MALL RD
BURLINGTON, MA 01805-1716
Phone number: 781-744-8000
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Mailing Address
SUSHMA RAVIRALA MBBS
PROVIDER ENROLLMENT 41 MALL ROAD
BURLINGTON, MA 01805-0001
Phone number:
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