Sonnly Ribourg, PA
Physician Assistant in Malden, Massachusetts
1154739241- Practice location
- 195 Canal St, Malden, MA 02148-6701
- Phone
- 781-338-0500
- Fax
- —
- Last updated
- August 24, 2015
Sonnly Ribourg is a Physician Assistant based in Malden, MA. Sonnly Ribourg practices in Malden, MA and has the professional credentials of PA. The NPI Number for Sonnly Ribourg is 1154739241 and holds a License No. 5114 (MA). The current practice location address for Sonnly Ribourg is 195 Canal St, Malden, MA 02148-6701 and can be reached out via phone at 781-338-0500.
Provider Profile Details
- NPI Number
- 1154739241
- Provider Name
- Sonnly Ribourg
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 195 Canal St, Malden, MA 02148-6701
- Phone Number
- 781-338-0500
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 1, 2014
- Last Update Date
- August 24, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 195 Canal St
Malden, MA 02148-6701 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-6701
- Phone Number
- 781-338-0500
Provider Business Mailing Address Details
- Address
- 158 Hancock St
Apt 1
Everett, MA 02149-1333 - City
- Everett
- State
- MA
- Zip
- 02149-1333
License Information
- License Number
- 5114
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sonnly Ribourg, PA?
The NPI number of Sonnly Ribourg, PA is 1154739241. It was assigned on August 1, 2014 and is currently active in the NPPES registry.
What is the specialty of Sonnly Ribourg, PA?
Sonnly Ribourg, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 5114.
Where does Sonnly Ribourg, PA practice?
The practice location is 195 Canal St, Malden, MA 02148-6701. The office can be reached at 781-338-0500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154739241 directly on the NPPES registry website.