Organization
AMITABHA GHOSH ROY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMITABHA GHOSH ROY M.D. (PRESIDENT)
(617) 696-1510
Entity
Organization
Contact information
Practice address
100 HIGHLAND ST STE 204, MILTON, MA 02186-3875
(617) 696-1510
(617) 696-2437
Mailing address
100 HIGHLAND ST STE 204, MILTON, MA 02186-3875
(617) 696-1510
(617) 696-2437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32910
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9701508
—
MA
Enumeration date
05/15/2007
Last updated
08/22/2020
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