Provider Demographics
NPI:1235115007
Name:TABBA, AMER (MD)
Entity Type:Individual
Prefix:DR
First Name:AMER
Middle Name:
Last Name:TABBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AMER
Other - Middle Name:
Other - Last Name:AL-TABBAA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:191 PECUNIT ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1245
Mailing Address - Country:US
Mailing Address - Phone:781-828-0905
Mailing Address - Fax:
Practice Address - Street 1:1400 VFW PKWY
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-4927
Practice Address - Country:US
Practice Address - Phone:857-203-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81905207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology