Individual
GHULAM MUQTADA CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MALL RD., LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8863
(781) 744-5577
Mailing address
41 MALL RD., LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8863
(781) 744-5577
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
77836
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
14865
NH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
77836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126071
—
MA
05
—
110002212A
—
MA
05
—
30205461
—
NH
Enumeration date
10/04/2005
Last updated
05/02/2013
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