Organization
CHATTERJEE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDARSHAN CHATTERJEE MD (OWNER)
(978) 975-0990
Entity
Organization
Contact information
Practice address
451 ANDOVER ST, SUITE G8, NO ANDOVER, MA 01845
(978) 975-0990
(978) 975-7803
Mailing address
451 ANDOVER ST, SUITE G8, NO ANDOVER, MA 01845
(978) 975-0990
(978) 975-7803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210316
MA
207R00000X
Internal Medicine Physician
213420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30214387
EDS MEDICAID OF NH
—
01
—
3826032
AETNA
—
01
—
93030
FALLON
—
05
—
9749390
—
MA
01
—
M18961
BCBS OF MASS
—
Enumeration date
10/25/2006
Last updated
08/22/2020
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