Organization
MD LEGAL CONSULTANT CORP.
Active
Other names
MD Legal Consultant Corp., MD Legal Consultant Corp/Fast MDLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHANLAL CHAKRABARTI MD (PSYCHIATRIST)
(781) 354-8756
Entity
Organization
Contact information
Practice address
14 AVON RD, WATERTOWN, MA 02472-4932
(781) 354-8756
Mailing address
14 AVON RD, WATERTOWN, MA 02472-4932
(781) 354-8756
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42216
—
MA
Enumeration date
11/18/2020
Last updated
11/18/2020
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