Healthcare Provider Details

I. General information

NPI: 1235361080
Provider Name (Legal Business Name): JOHN PAUL A ABROGUENA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2009
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MESSENGER ST
PLAINVILLE MA
02762-2258
US

IV. Provider business mailing address

60 MESSENGER ST
PLAINVILLE MA
02762-2258
US

V. Phone/Fax

Practice location:
  • Phone: 508-695-2020
  • Fax: 508-342-1915
Mailing address:
  • Phone: 508-695-2020
  • Fax: 508-342-1915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD14026
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT 195469
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1027470
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: