Individual
AILEEN A ABESAMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(732) 899-0008
(508) 894-0412
Mailing address
680 CENTRE ST, SIGNATURE MEDICAL GROUP, BROCKTON, MA 02302-3308
(508) 941-2547
(508) 894-0412
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036121148
IL
208000000X
Pediatrics Physician
Primary
249872
MA
208000000X
Pediatrics Physician
MA08466100
NJ
208000000X
Pediatrics Physician
R9047
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9047
R NUMBER
AL
Enumeration date
11/02/2006
Last updated
01/12/2024
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