Organization
BAY STATE MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNAK KHACHATRYAN (ADMINISTRATIVE MANAGER)
(508) 857-1466
Entity
Organization
Contact information
Practice address
1717 MAIN ST, BROCKTON, MA 02301-7134
(508) 857-1466
(508) 857-1725
Mailing address
1717 MAIN ST, BROCKTON, MA 02301-7134
(508) 857-1466
(508) 857-1725
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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