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Individual

MANOJ MOHOLKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
228 BILLERICA RD, ADULT URGENT CARE, CHELMSFORD, MA 01824-3604
(978) 250-6000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
157492
MA
2083X0100X
Occupational Medicine Physician
Primary
157492
MA

Other

Enumeration date
05/16/2006
Last updated
03/17/2011
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