Individual
ADITYA MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(909) 618-2331
Mailing address
75 SAINT ALPHONSUS ST APT 1509, BOSTON, MA 02120-1654
(909) 618-2331
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
278859
MA
Other
Enumeration date
04/19/2016
Last updated
11/01/2021
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