Individual
MOHAMED HASHI ABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 MAIN ST STE 4, STURBRIDGE, MA 01566
(508) 347-9240
(508) 347-5361
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35078207
OH
207Q00000X
Family Medicine Physician
Primary
81726
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0730301
NEIGHBORHOOD HEALTH PLAN
MA
05
—
110005581A
—
MA
01
—
1639281090
PHCS
MA
01
—
2201243
CIGNA
MA
05
—
32000332
—
MA
01
—
763121
TUFTS
MA
01
—
97690404
NETWORK HEALTH
MA
01
—
AA211150
HPHC
MA
Enumeration date
08/31/2006
Last updated
08/31/2018
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