Bridget Basile Ibrahim

NPI 1437587219 · on the registry since 2013

Practice

Address: 1575 Blue Hill Ave
Mattapan Community Health Center
Boston, MA 02126
Phone: (617) 296-0061
Fax: (617) 296-5408
Organisation at this address: Mattapan Community Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts