Individual
DR. DIPAVO BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
340 THOMPSON RD, WEBSTER, MA 01570-1509
(508) 949-8988
(508) 949-8997
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1016460
MA
2084P0802X
Addiction Psychiatry Physician
1016460
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2021
Last updated
04/07/2026
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