Organization
BEHAVIORAL HEALTHCARE SERVICES
Active
Organization
BEHAVIORAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMJAD BAHNASSI MD (DIRECTOR)
(508) 753-5554
Entity
Organization
Contact information
Practice address
435 SHREWSBURY ST, WORCESTER, MA 01604-1689
(508) 753-5554
(508) 752-0245
Mailing address
435 SHREWSBURY ST, WORCESTER, MA 01604-1689
(508) 753-5554
(508) 752-7245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
59555
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032389
—
MA
Enumeration date
01/04/2007
Last updated
11/06/2018
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