Organization
THE PRACTICE OB/GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM JOULAK M.D. (OWNER)
(978) 458-8855
Entity
Organization
Contact information
Practice address
60 EAST ST STE 1100, METHUEN, MA 01844-4547
(978) 458-8855
(978) 458-8866
Mailing address
60 EAST ST STE 1100, METHUEN, MA 01844-4547
(978) 458-8855
(978) 458-8866
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119473A
—
MA
01
—
S100357282
MEDICARE ID
MA
Enumeration date
11/16/2016
Last updated
03/20/2024
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