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Dhivya Perumal, MD
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1376168112

Dhivya Perumal is a Student in an Organized Health Care Education/Training Program based in Jamaica Plain, MA. Dhivya Perumal practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Dhivya Perumal is 1376168112 and holds a License No. (Massachusetts).

The current practice location address for Dhivya Perumal is 680 Centre St, Brockton, MA and can be reached out via phone at 508-941-7000.

Location: 680 Centre St, Brockton, MA, 02130-3214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376168112
Provider Name
Dhivya Perumal
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
680 Centre St, Brockton, MA, 02130-3214
Phone Number
508-941-7000
Fax Number
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
680 Centre St
City
Brockton
State
Massachusetts
Zip
02302-3308
Phone Number
508-941-7000
Fax Number
person
Provider Business Mailing Address Details
Address
680 Centre St
City
Brockton
State
Massachusetts
Zip
02302-3308
Phone Number
508-941-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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