Individual
DR. KISHANLAL CHAKRABARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 BANKS ST, WINTHROP, MA 02152-1931
(617) 539-1318
(866) 274-0418
Mailing address
14 AVON RD, WATERTOWN, MA 02472-4932
(617) 539-1318
(866) 274-0418
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42216
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075059
—
MA
Enumeration date
09/02/2005
Last updated
07/23/2007
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