Individual
RITU BAGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 MALL RD, LAHEY CLINIC DEPARTMENT OF NEUROLOGY, BURLINGTON, MA 01805-0001
(781) 744-8630
(781) 744-5581
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8771
(781) 744-2905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT180526
PA
2084N0400X
Neurology Physician
237362
MA
2084N0600X
Clinical Neurophysiology Physician
Primary
237362
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159902
—
MA
Enumeration date
05/02/2008
Last updated
05/03/2019
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