Individual
MUSHTAQUE A CHACHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-9180
(508) 973-9185
Mailing address
200 MILL ROAD SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 985-2001
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
231466
MA
2084N0400X
Neurology Physician
Primary
231466
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10671
LICENSE - ND
ND
01
—
P00624517
RR MEDICARE
ND
Enumeration date
05/21/2007
Last updated
11/08/2024
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