# THE PRACTICE OB/GYN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619419082
- **Authorized official:** DR. IBRAHIM JOULAK M.D. (OWNER)
- **Authorized official phone:** (978) 458-8855

## Contact information

- **Practice address:** 60 EAST ST STE 1100, METHUEN, MA 01844-4547
- **Practice address phone:** (978) 458-8855
- **Practice address fax:** (978) 458-8866
- **Mailing address:** 60 EAST ST STE 1100, METHUEN, MA 01844-4547
- **Mailing address phone:** (978) 458-8855
- **Mailing address fax:** (978) 458-8866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 03/20/2024