License holder summary

Deepanwita Prusty is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Deepanwita Prusty is South Shore Medical Center, 143 LONGWATER DRIVE, Norwell 02061. This licensed professional license is current. The license was granted 06/29/2006 and expired on 04/04/2017.

Massachusetts

Division of Professional Licensure

Deepanwita Prusty
Board Of Registration In Medicine
License number
228973
Date granted
06/29/2006
Date expires
04/04/2017
Class
Board Of Registration In Medicine
Status
Active
Address
South Shore Medical Center, 143 LONGWATER DRIVE
licensingma.org
ID 41468542
LAST UPDATED 2026-05-15 12:11:09 UTC

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