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Individual

AHMED M. ATIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
907 SUMNER ST, M201, STOUGHTON, MA 02072
(508) 941-7000
Mailing address
907 SUMNER ST M201, GUARDIAN ANESTHESIA INC, STOUGHTON, MA 02072
(781) 344-2325
(781) 341-8544

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
216741
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD11089
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202010504
UNITEDHEALTH
01
20270527002
TRICARE
01
202705274
UNITEDHEALTH
05
2038251
MA
01
30902
BCBS
RI
01
31395
NEIGBORHOOD HEALTH
RI
01
410922
BLUECHIP
RI
01
46416
TUFTS
MA
01
464616
TUFTS
MA
01
6110000600
DOL
MA
01
611000600
DOL
01
67400
FALLON
MA
05
7010560
RI
01
7017564
AETNA
MA
01
7017564
AETNA
01
8983845
CIGNA
01
97252802
NETWORK HEALTH
01
AA30366
HPHC
MA
01
AA47844
HPHC
MA
01
AA47844
HPHC
01
J27035
BCBS
MA
01
J27035
BCBS
Enumeration date
03/29/2006
Last updated
09/23/2015
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