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Individual

MRS. ADITI BAWEJA CHANDRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
(508) 358-3525
Mailing address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
(508) 358-3525

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17204
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00195
MEDICARE PTAN
MA
01
4401395
CIGNA ORTHONET
MA
01
498788
TUFTS
MA
01
AA90233
HPHC
MA
01
Y68711
BLUE CROSS MA
MA
Enumeration date
02/20/2007
Last updated
06/05/2013
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