Individual
DR. ATISH DIPANKAR CHOUDHURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
450 BROOKLINE AVE, DA1230, BOSTON, MA 02215-5418
(617) 632-4524
(617) 632-2165
Mailing address
450 BROOKLINE AVE, DA1230, BOSTON, MA 02215-5418
(617) 632-4524
(617) 632-2165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229110
MA
207RH0003X
Hematology & Oncology Physician
229110
MA
207RH0003X
Hematology & Oncology Physician
Primary
238553
MA
Other
Enumeration date
01/11/2007
Last updated
08/13/2012
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