Healthcare Provider Details

I. General information

NPI: 1861316077
Provider Name (Legal Business Name): AUGUSTA HAJA SESAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 LINCOLN ST
STOUGHTON MA
02072-2522
US

IV. Provider business mailing address

127 LINCOLN ST
STOUGHTON MA
02072-2522
US

V. Phone/Fax

Practice location:
  • Phone: 781-363-4186
  • Fax:
Mailing address:
  • Phone: 781-363-4186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2327875
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: