Individual
RABEYA FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 WASHINGTON ST, STOUGHTON, MA 02072-1737
(781) 850-4175
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10001410
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2023
Last updated
07/13/2026
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