Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN1859216 | MA |
NPI | 1003588617 |
---|---|
Provider Name | Dr. Ahmed Mohamed A. Mohamed Abugad |
First Address | North Billerica, MA 01862-2042 |
Second Address | Carlisle, MA 01741-1506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2021 |
Last Update Date | 01/10/2021 |