Individual
JYOTSNA A MHATRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 LAKE AVE N, STE 101, WORCESTER, MA 01605-2047
(508) 753-3220
(508) 753-3224
Mailing address
425 LAKE AVE N, STE 101, WORCESTER, MA 01605-2047
(508) 753-3220
(508) 753-3224
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041813
TUFTS COMMUNITY HEALTH PL
—
01
—
220889
HARVARD PILGRIM
—
01
—
260028311
RAILROAD MEDICARE
—
05
—
3000389
—
MA
01
—
3547819
HEALTHSOURCE CMHC
—
01
—
984965
NETWORK HEALTH
—
01
—
J04655
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/15/2006
Last updated
11/27/2019
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