Individual
OMAR GHISHAIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
88 WASHINGTON ST, TAUNTON, MA 02780-2465
(508) 828-7000
Mailing address
16 BROAD ST, RANDOLPH, MA 02368-3202
(781) 492-5740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
10/14/2021
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