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1750763116
SUBHA BAISYAT
BROCKTON, MA
NPI
1750763116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MA 278218)
Enumeration Date
2015-06-22
Last Update Date
2023-12-18
Business Address
SUBHA BAISYAT
34 N PEARL ST
BROCKTON, MA 02301-1708
Phone number: 508-408-9200
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Mailing Address
SUBHA BAISYAT
960 MASSACHUSETTS AVE FL 2
BOSTON, MA 02118
Phone number:
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