Individual
SOMA ROY CHAKRABORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
56 BARKSDALE RD, WEST HARTFORD, CT 06117-1607
(763) 245-9653
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
08/09/2024
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