Choubah, Samar A

Choubah, Samar A is an individual health care provider with primary practice located at 650 Centre St , Brockton MA 02302-3308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Choubah, Samar A can be contacted via phone (508) 941-7766.

Contact Information

Primary practice address
650 Centre St Brockton MA 02302-3308
Phone: (508) 941-7766
Fax: (508) 584-5455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 227452 Massachusetts

Profile Details

NPI number 1588698245
LBN Legal business name Choubah, Samar A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 15th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588698245 NPPES
Massachusetts MEDICAID 2120402

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