Individual
DR. BHASKAR SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
425 LAKE AVE N, WORCESTER, MA 01605-2047
(508) 595-2655
(508) 595-2003
Mailing address
425 LAKE AVE N, WORCESTER, MA 01605-2047
(508) 595-2655
(508) 595-2003
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
050055
CT
207N00000X
Dermatology Physician
Primary
262096
MA
Other
Enumeration date
02/08/2008
Last updated
06/09/2015
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