Healthcare Provider Details

I. General information

NPI: 1053340950
Provider Name (Legal Business Name): SENADA ARABELOVIC DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 RESNIK RD
PLYMOUTH MA
02360-4844
US

IV. Provider business mailing address

46 FROTHINGHAM ST
MILTON MA
02186-3317
US

V. Phone/Fax

Practice location:
  • Phone: 508-746-5351
  • Fax:
Mailing address:
  • Phone: 617-322-1233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number203357
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: