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Individual

DR. DEBMALYA MUKHERJEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 STATE ST FL 26, BOSTON, MA 02109-1827
(855) 347-4108
(616) 830-8213
Mailing address
2842 MAIN ST STE 305, GLASTONBURY, CT 06033-1077

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
044815
CT
207R00000X
Internal Medicine Physician
233803
MA
208M00000X
Hospitalist Physician
Primary
044815
CT
208M00000X
Hospitalist Physician
233803
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001448150
CT
01
010044815CTD1
BCBS
CT
01
134550
FALLON
MA
01
1356371744
CIGNA
CT
05
2148480
MA
01
44815
CONNECTICARE
01
510492088
UHC
MA
01
9585080
AETNA
01
AA113569
HPHC
MA
01
CT0000439
TRICARE
01
J42785
BCBS
MA
Enumeration date
07/03/2006
Last updated
11/29/2024
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