Abdulfatah Hussen
Individual provider Active NPI Driver · Malden, MA
NPI 1306562350 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1306562350
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 99 Florence St Apt 519
Malden, MA 02148-3956 - Phone
- (240) 330-0209
- NPI assigned
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
99 Florence St Apt 519
Malden, MA 02148-3956
Mailing address
1044 Main St Apt 3
Malden, MA 02148-1433
Phone (240) 330-0209
Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 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.