Devasena Balasubramaniam, M.D.
Internal Medicine in Waltham, MA. Individual provider (NPI-1).
NPI number1396936498
StatusActive
Last updated in NPPESJan 14, 2010
Details
- NPI
- 1396936498
- Entity type
- Individual (NPI-1)
- Name
- Devasena Balasubramaniam
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2007
- Last updated
- Jan 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 233639 | MA | Yes |
Practice location
40 Second AveMass General West
Waltham, MA 02451
Phone 781-487-4350
Mailing address
31 Fletcher AveUnit 7
Lexington, MA 02420-3700
Phone 781-862-0943
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