Basic Information
| Provider Information | |||||||||
| NPI: | 1902108160 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PUROHIT | ||||||||
| FirstName: | SAROJ | ||||||||
| MiddleName: | NISHIKANT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 46 WASHINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | BURLINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018033518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813011896 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 380R MERRIMACK ST | ||||||||
| Address2: | |||||||||
| City: | METHUEN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018445883 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786876355 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2010 | ||||||||
| LastUpdateDate: | 01/22/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 257885 | MA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.