Individual
GAUTAM P CHHAJED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-6767
(774) 441-6787
Mailing address
330 MOUNT AUBURN ST # 2, CAMBRIDGE, MA 02138-5597
(617) 499-5112
(617) 575-8608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
235042
MA
208M00000X
Hospitalist Physician
235042
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110079827A
—
MA
Enumeration date
09/09/2007
Last updated
10/03/2024
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