Provider Demographics
NPI:1205817806
Name:MUKHERJEE, ARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:MUKHERJEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 WASHINGTON STREET,
Mailing Address - Street 2:SUITE 305 STEWARD MEDICAL GROUP
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-782-1421
Mailing Address - Fax:617-782-1910
Practice Address - Street 1:41 MALL RD STE 305
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-3511
Practice Address - Country:US
Practice Address - Phone:781-744-8085
Practice Address - Fax:617-782-1910
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3178323Medicaid
MAG66317Medicare UPIN
MAA23459Medicare ID - Type UnspecifiedMEDICARE