Individual
BRIDGET BASILE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 BLUE HILL AVE, MATTAPAN COMMUNITY HEALTH CENTER, BOSTON, MA 02126-2122
(617) 296-0061
(617) 296-5408
Mailing address
1575 BLUE HILL AVE, MATTAPAN COMMUNITY HEALTH CENTER, BOSTON, MA 02126-2122
(617) 296-0061
(617) 296-5408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN270470
MA
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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