Healthcare Provider Details

I. General information

NPI: 1326280314
Provider Name (Legal Business Name): SANTIGIE ABDUL SESAY NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 BOSTON RD SUITE 4
NORTH BILLERICA MA
01862-2321
US

IV. Provider business mailing address

221 BOSTON RD SUITE 4
NORTH BILLERICA MA
01862-2321
US

V. Phone/Fax

Practice location:
  • Phone: 978-670-1300
  • Fax: 978-670-2890
Mailing address:
  • Phone: 978-670-1300
  • Fax: 978-670-2890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2006009971
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: