Provider Demographics
NPI:1275067118
Name:AMAC NEUROLOGY AND SLEEP MEDICINE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:AMAC NEUROLOGY AND SLEEP MEDICINE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUSHTAQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-207-5619
Mailing Address - Street 1:237 STATE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2612
Mailing Address - Country:US
Mailing Address - Phone:508-993-9760
Mailing Address - Fax:508-993-9764
Practice Address - Street 1:237 STATE RD
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2612
Practice Address - Country:US
Practice Address - Phone:508-993-9760
Practice Address - Fax:508-993-9764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2314662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty