Madiop Diouf
Nurse Practitioner, Family in Roxbury, Massachusetts
1578109856- Practice location
- 45 Dimock St, Roxbury, MA 02119-1208
- Phone
- 617-442-8800
- Fax
- 617-541-8472
- Last updated
- June 9, 2022
Madiop Diouf is a Nurse Practitioner, Family based in Roxbury, MA. Madiop Diouf practices in Roxbury, MA. The NPI Number for Madiop Diouf is 1578109856 and holds a License No. RN2295406 (MA). The current practice location address for Madiop Diouf is 45 Dimock St, Roxbury, MA 02119-1208 and can be reached out via phone at 617-442-8800 and via fax at 617-541-8472.
Provider Profile Details
- NPI Number
- 1578109856
- Provider Name
- Madiop Diouf
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 45 Dimock St, Roxbury, MA 02119-1208
- Phone Number
- 617-442-8800
- Fax Number
- 617-541-8472
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 21, 2019
- Last Update Date
- June 9, 2022
- Certification Date
- June 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Dimock St
Roxbury, MA 02119-1208 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02119-1208
- Phone Number
- 617-442-8800
- Fax Number
- 617-541-8472
Provider Business Mailing Address Details
- Address
- 55 Dimock St
Roxbury, MA 02119-1029 - City
- Roxbury
- State
- MA
- Zip
- 02119-1029
- Phone Number
- 617-442-8800
- Fax Number
- 617-541-8472
License Information
- License Number
- RN2295406
- License State
- MA
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · 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 Madiop Diouf?
The NPI number of Madiop Diouf is 1578109856. It was assigned on November 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Madiop Diouf?
Madiop Diouf is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2295406.
Where does Madiop Diouf practice?
The practice location is 45 Dimock St, Roxbury, MA 02119-1208. The office can be reached at 617-442-8800 (phone) or 617-541-8472 (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 1578109856 directly on the NPPES registry website.