Individual
DYAN BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 COMPASS WAY, SUITE 200, EAST BRIDGEWATER, MA 02333-1465
(508) 350-2300
(508) 350-2310
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 350-2350
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160117
TUFTS
MA
01
—
69712
HPHC
MA
05
—
A30963
—
MA
01
—
A3096301
MEDICARE PTAN
MA
01
—
J22620
BC/BS
MA
Enumeration date
05/28/2006
Last updated
03/10/2011
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