Individual
WILLIAM ROBERT BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1153 CENTRE ST, SUITE 4930, JAMAICA PLAIN, MA 02130-3446
(617) 983-7420
(617) 983-2488
Mailing address
23 STEARNS ST, NEWTON, MA 02459-2441
(617) 630-8373
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
79148
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3168069
—
MA
Enumeration date
03/24/2006
Last updated
05/29/2012
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