ELIE IBRAHIM ATA

LAWRENCE, MA
NPI1659801520
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MA  272114)
Enumeration Date2017-06-14
Last Update Date2022-07-21
Business Address
ELIE IBRAHIM ATA
34 HAVERHILL ST
LAWRENCE, MA 01841-2884
Phone number: 978-686-0090
Mailing Address
ELIE IBRAHIM ATA
34 HAVERHILL ST
LAWRENCE, MA 01841-2884
Phone number: 978-686-0090
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