Active NPIIndividual providerSole proprietor

Dr. Boutros M Ghassibi, MD

Family Medicine, Sports Medicine in Lawrence, Massachusetts

NPI Number1184723819
Practice location
34 Haverhill St, Lawrence, MA 01841-2884
Fax
978-681-5963
Last updated
November 9, 2017

Boutros Michel Ghassibi is a Family Medicine, Sports Medicine based in Lawrence, MA. Boutros Michel Ghassibi practices in Lawrence, MA and has the professional credentials of MD. The NPI Number for Boutros Michel Ghassibi is 1184723819 and holds a License No. 72138 (MA). The current practice location address for Boutros Michel Ghassibi is 34 Haverhill St, Lawrence, MA 01841-2884 and can be reached out via phone at 978-686-0090 and via fax at 978-681-5963.

Provider Profile Details

NPI Number
1184723819
Provider Name
Boutros Michel Ghassibi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34 Haverhill St, Lawrence, MA 01841-2884
Phone Number
978-686-0090
Fax Number
978-681-5963
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2006
Last Update Date
November 9, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Haverhill St
Lawrence, MA 01841-2884
Zip
01841-2884
Phone Number
978-686-0090
Fax Number
978-681-5963
Lawrence, MA 01841Get directions →

Provider Business Mailing Address Details

Address
34 Haverhill St
Lawrence, MA 01841-2884
City
Lawrence
State
MA
Zip
01841-2884
Phone Number
978-686-0090
Fax Number
978-681-5963

License Information

License Number (1)
72138
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
72138
License State (2)
MA
Taxonomy (2)
Family Medicine, Sports Medicine · 207QS0010X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Boutros M Ghassibi, MD?

The NPI number of Dr. Boutros M Ghassibi, MD is 1184723819. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Boutros M Ghassibi, MD?

Dr. Boutros M Ghassibi, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in MA under license number 72138.

Where does Dr. Boutros M Ghassibi, MD practice?

The practice location is 34 Haverhill St, Lawrence, MA 01841-2884. The office can be reached at 978-686-0090 (phone) or 978-681-5963 (fax).

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 1184723819 directly on the NPPES registry website.

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