| Ibrahim Joulak, MD, FACOG | |
|
60 East St Ste 1100, Methuen, MA 01844-4547 | |
| (978) 458-8855 | |
| (978) 458-8866 |
| Full Name | Ibrahim Joulak |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 60 East St Ste 1100, Methuen, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891962478 | NPI | - | NPPES |
| 110090826A | Medicaid | MA | |
| S400357712 | Other | MA | MEDICAIR ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 234420 (Massachusetts) | Primary |
| Entity Name | Obhg Massachusetts Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740844083 PECOS PAC ID: 6709114556 Enrollment ID: O20190819001315 |
| Mailing Address | Practice Location Address |
|---|---|
| Ibrahim Joulak, MD, FACOG 60 East St Ste 1100, Methuen, MA 01844-4547 Ph: (978) 458-8855 | Ibrahim Joulak, MD, FACOG 60 East St Ste 1100, Methuen, MA 01844-4547 Ph: (978) 458-8855 |
Fernando Mauel Romero, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 60 East St, Methuen, MA 01844 Phone: 978-687-0540 | |
Javed I Siddiqi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 380 Merrimack St, Suite 2c, Methuen, MA 01844 Phone: 978-689-0033 Fax: 978-682-0033 | |
Michele Johnson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 60 East St, Suite 3300, Methuen, MA 01844 Phone: 978-685-3440 Fax: 978-657-5877 |