Active NPIIndividual provider

Aileen A Abesamis, MD

Pediatrics in Brockton, Massachusetts

NPI Number1619056546
Practice location
680 Centre St, Brockton, MA 02302-3308
Fax
508-894-0412
Last updated
January 12, 2024

Aileen A Abesamis is a Pediatrics based in Brockton, MA. Aileen A Abesamis practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Aileen A Abesamis is 1619056546 and holds a License No. R9047 (AL). The current practice location address for Aileen A Abesamis is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 732-899-0008 and via fax at 508-894-0412.

Provider Profile Details

NPI Number
1619056546
Provider Name
Aileen A Abesamis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
680 Centre St, Brockton, MA 02302-3308
Phone Number
732-899-0008
Fax Number
508-894-0412
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2006
Last Update Date
January 12, 2024
Certification Date
January 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Centre St
Brockton, MA 02302-3308
Zip
02302-3308
Phone Number
732-899-0008
Fax Number
508-894-0412
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
680 Centre St
Signature Medical Group
Brockton, MA 02302-3308
City
Brockton
State
MA
Zip
02302-3308
Phone Number
508-941-2547
Fax Number
508-894-0412

License Information

License Number (1)
R9047
License State (1)
AL
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
036121148
License State (2)
IL
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
MA08466100
License State (3)
NJ
Taxonomy (3)
Pediatrics · 208000000X
License Number (4)
249872
License State (4)
MA
Taxonomy (4)
Pediatrics · 208000000X · 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 Aileen A Abesamis, MD?

The NPI number of Aileen A Abesamis, MD is 1619056546. It was assigned on November 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Aileen A Abesamis, MD?

Aileen A Abesamis, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in AL under license number R9047.

Where does Aileen A Abesamis, MD practice?

The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 732-899-0008 (phone) or 508-894-0412 (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 1619056546 directly on the NPPES registry website.

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