Individual
DR. AJAY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(508) 408-9200
Mailing address
960 MASSACHUSETTS AVE., FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
250296
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092873A
—
MA
Enumeration date
10/22/2008
Last updated
12/18/2023
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