Healthcare Provider Details

I. General information

NPI: 1043278674
Provider Name (Legal Business Name): ARABINDA CHATTERJEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 02/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 RIVERSIDE DRIVE THOMPSON MED CENTER
N. GROSVENORDALE CT
06255
US

IV. Provider business mailing address

415 RIVERSIDE DR
NORTH GROSVENORDALE CT
06255-2165
US

V. Phone/Fax

Practice location:
  • Phone: 860-923-1181
  • Fax:
Mailing address:
  • Phone: 860-923-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number81487
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: