Provider Demographics
NPI:1275591810
Name:ABDILMASIH, PIERRE DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:DANIEL
Last Name:ABDILMASIH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MARGARETS CV
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2792
Mailing Address - Country:US
Mailing Address - Phone:508-446-5955
Mailing Address - Fax:
Practice Address - Street 1:245 BLUE HILL AVE
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-2152
Practice Address - Country:US
Practice Address - Phone:617-989-8881
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2880111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAABY45756Medicare ID - Type Unspecified