Addo, Abena A.
Addo, Abena A. is an individual health care provider with primary practice located at 208 Mill Rd , Fairhaven MA 02719-5208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Addo, Abena A. can be contacted via phone (508) 996-1800.Contact Information
Primary practice address
208 Mill Rd
Fairhaven MA 02719-5208
Phone: (508) 996-1800
Fax: (508) 992-7906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD11019 | Rhode Island |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 223212 | Massachusetts |
Profile Details
| NPI number | 1366543225 |
|---|---|
| LBN Legal business name | Addo, Abena A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Apr 20th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366543225 | NPPES |
| Massachusetts | Other | S400199204 | MEDICARE PTAN |
| Massachusetts | MEDICAID | 110042076A | MEDICARE PTAN |
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