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Individual

DR. AMOLA SHERTUKDE BHAKTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 414-6800
(617) 414-6217
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
254877
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110093903A
MA
Enumeration date
06/07/2010
Last updated
06/09/2023
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