Bader Jassim Aldossary, M.D
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Springfield, MA
NPI 1154534824 · NPPES record last updated May 9, 2022
Key facts
- NPI
- 1154534824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 759 Chestnut St
Springfield, MA 01199-1001 - Phone
- (413) 794-0884
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
759 Chestnut St
Springfield, MA 01199-1001
Mailing address
931 Union Stret
Bangor, ME 04401
Phone (207) 973-9356
Other providers in Springfield, MA
- Michael P Albert
- Vanna Albert
- Lori E Albertowicz
- Sora Alderman
- Faisal Musallam Aldhafeeri
- Danielle Aldrich
- Mujahid Aleem
- Naylis Alejandro
- Samantha Alejandro
- Aleska Pelaez Acosta MD Pediatrics PC
All providers in Springfield, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.