Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BOUTROS MICHEL GHASSIBI, MD
Active Sole ProprietorDR. BOUTROS MICHEL GHASSIBI, MD is a Sports Medicine healthcare provider located in LAWRENCE, Massachusetts. NPI 1184723819 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LAWRENCE, MA
Registration Details
- NPI Number
- 1184723819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.852075404299 yrs)
- Last Updated
- Nov 9, 2017
- Licenses
-
72138 (MA)72138 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
34 HAVERHILL STLAWRENCE, MA, 018412884Browse MA providers · Browse ZIP 01841
- Phone
- 9786860090
- Fax
- 9786815963
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.