Individual
HABIB A. SIOUFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
157 UNION ST, DEPARTMENT OF PATHOLOGY, MARLBOROUGH, MA 01752-1228
(508) 486-5701
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
50579
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047211
—
MA
Enumeration date
11/16/2005
Last updated
11/04/2010
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