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Individual

DHIREN PATHAK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CARITAS HOLY FAMILY HOSPITAL, 70 EAST ST., METHUEN, MA 01844
(978) 687-0151
Mailing address
60 EAST ST, SUITE 1400, METHUEN, MA 01844-4500
(978) 689-4601
(978) 689-3086

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
60090
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30003655
NH WELFARE
05
3061043
MA
01
780127
TUFT
01
J09422
MASS BCBS
Enumeration date
07/26/2005
Last updated
07/08/2007
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