Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 154123 | MA |
NPI | 1083664163 |
---|---|
Provider Name | Neil Bhattacharyya |
First Address | Boston, MA 02115-6303 |
Second Address | Boston, MA 02115-6303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 02/12/2019 |