Individual
DR. KHELDA S JABBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
(781) 878-6750
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
(781) 878-6750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
233696
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042297845
HCVM
—
01
—
110078128A
MASS HEALTH
MA
05
—
110078128A
—
MA
01
—
1124086095
BCBSMA
MA
01
—
1124086095
FALLON
—
01
—
9546100
AETNA
—
01
—
9997613
CIGNA
—
01
—
AA420247
HARVARD PILGRIM HEALTH CARE
—
Enumeration date
05/02/2006
Last updated
03/17/2016
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