Individual
ANNICK DIANE VAN DEN ABBEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
78394
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125084
—
MA
01
—
778060
TUFTS HEALTH CARE
MA
01
—
J30495
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/27/2005
Last updated
10/01/2012
Update your record
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