Most Relevant Information
Provider Data
| NPI Number: | 1003672015 |
| Provider Name: | GEORGE M KHAIRALLA |
| Entity Type: | Individual |
| Taxonomy Code: | 171WV0202X |
| Specialty: | Contractor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/27/2024 |
| Last Updated: | 02/27/2024 |
Provider Practice Location
313 RESERVOIR RD
LUNENBURG
MA
014621532
Practice Location Phone/Fax
| Phone: | 9784299931 |
| Fax: |
Provider Mailing Location
313 RESERVOIR RD
LUNENBURG
MA
014621532
Provider Mailing Phone/Fax
| Phone: | 9784299931 |
| Fax: |