Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 216213 | MA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 216213 | MA |
N | 207VG0400X | Gynecologist | 216213 | MA |
NPI | 1710962543 |
---|---|
Provider Name | Dr. Sujatha S. Rajan |
First Address | Woburn, MA 01801 |
Second Address | Woburn, MA 01801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 20/07/2016 |