| Md Legal Consultant Corp. | |
|
14 Avon Rd Watertown MA 02472-4932 | |
| (781) 354-8756 | |
| Not Available |
| Full Name | Md Legal Consultant Corp. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 14 Avon Rd, Watertown, Massachusetts |
| Authorized Official Name and Position | Kishanlal Chakrabarti (PSYCHIATRIST) |
| Authorized Official Contact | 7813548756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Legal Consultant Corp. 14 Avon Rd Watertown MA 02472-4932 Ph: (781) 354-8756 | Md Legal Consultant Corp. 14 Avon Rd Watertown MA 02472-4932 Ph: (781) 354-8756 |
| NPI Number | 1699378042 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699378042 | NPI | - | NPPES |
| 42216 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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