Organization
BOULEVARD MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARSHAD CHITRE MD (PRESIDENT)
(508) 762-4480
Entity
Organization
Contact information
Practice address
338 PLANTATION ST, WORCESTER, MA 01604-1637
(508) 762-4480
(508) 752-1404
Mailing address
80 ADAMS ST, BOYLSTON, MA 01505-1441
(508) 762-4480
(508) 752-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9764500
—
MA
Enumeration date
01/25/2007
Last updated
10/14/2015
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