Active NPIIndividual provider

Serena Jiddou, DO

Emergency Medicine in Dorchester, Massachusetts

NPI Number1396056826
Practice location
2100 Dorchester Ave, Dorchester, MA 02124
Fax
—
Last updated
August 16, 2019

Serena Jiddou is an Emergency Medicine based in Dorchester, MA. Serena Jiddou practices in Dorchester, MA and has the professional credentials of DO. The NPI Number for Serena Jiddou is 1396056826 and holds a License No. 258297 (MA). The current practice location address for Serena Jiddou is 2100 Dorchester Ave, Dorchester, MA 02124 and can be reached out via phone at 248-686-4844.

Provider Profile Details

NPI Number
1396056826
Provider Name
Serena Jiddou
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2100 Dorchester Ave, Dorchester, MA 02124
Phone Number
248-686-4844
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2010
Last Update Date
August 16, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2100 Dorchester Ave
Dorchester, MA 02124
Zip
02124
Phone Number
248-686-4844
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
2100 Dorchester Ave
Dorchester, MA 02124-5615
City
Dorchester
State
MA
Zip
02124-5615
Phone Number
248-686-4844

License Information

License Number
258297
License State
MA
Taxonomy
Emergency Medicine · 207P00000X · 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 Serena Jiddou, DO?

The NPI number of Serena Jiddou, DO is 1396056826. It was assigned on June 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Serena Jiddou, DO?

Serena Jiddou, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 258297.

Where does Serena Jiddou, DO practice?

The practice location is 2100 Dorchester Ave, Dorchester, MA 02124. The office can be reached at 248-686-4844 (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 1396056826 directly on the NPPES registry website.

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