Provider Demographics
NPI:1093933509
Name:HINCHEY, SHERIFAT A (MD)
Entity Type:Individual
Prefix:
First Name:SHERIFAT
Middle Name:A
Last Name:HINCHEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERIFAT
Other - Middle Name:ABIOLA
Other - Last Name:OLAGESHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH, FACP
Mailing Address - Street 1:20 EAST ST STE 20
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1638
Mailing Address - Country:US
Mailing Address - Phone:781-561-0460
Mailing Address - Fax:
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2714
Practice Address - Country:US
Practice Address - Phone:978-741-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND10501207R00000X
MA258518207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine