Individual
DR. MADHAB RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7299
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243686
MA
208M00000X
Hospitalist Physician
Primary
243686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086082A
—
MA
Enumeration date
08/09/2007
Last updated
11/20/2020
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