Individual
DR. TEDDI BACHAWATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 TROLLEY CROSSING RD, CHARLTON, MA 01507
(508) 980-7055
(508) 980-7072
Mailing address
9 TROLLEY CROSSING RD, CHARLTON, MA 01507-1351
(508) 980-7055
(508) 980-7072
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
246567
MA
207V00000X
Obstetrics & Gynecology Physician
307586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088569A
—
MA
Enumeration date
11/22/2005
Last updated
03/12/2021
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