Basic Information
Provider Information
NPI: 1558551010
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SETHI
FirstName: ASHA
MiddleName: DEVI
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 35 HOLLY CIR
Address2:  
City: WESTON
State: MA
PostalCode: 024931421
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 354 WAVERLEY ST
Address2:  
City: FRAMINGHAM
State: MA
PostalCode: 017027079
CountryCode: US
TelephoneNumber: 5082705700
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/30/2007
LastUpdateDate: 09/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X37300AZN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X261305MAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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