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Individual

DR. ABENA A. ADDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
208 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 996-1800
(508) 992-7906
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223212
MA
207R00000X
Internal Medicine Physician
MD11019
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110042076A
MA
01
S400199204
MEDICARE PTAN
MA
Enumeration date
09/25/2006
Last updated
04/20/2020
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