Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 226685 | MA |
NPI | 1053385708 |
---|---|
Provider Name | Rakesh Dhar |
First Address | Waltham, MA 02451-1105 |
Second Address | Waltham, MA 02451-1105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 03/12/2008 |