Provider Demographics
NPI:1659358166
Name:ABDULHAYOGLU, SEFIK (MD)
Entity Type:Individual
Prefix:DR
First Name:SEFIK
Middle Name:
Last Name:ABDULHAYOGLU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LONGBOW CIR
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1430
Mailing Address - Country:US
Mailing Address - Phone:508-984-1940
Mailing Address - Fax:508-993-8715
Practice Address - Street 1:383 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3601
Practice Address - Country:US
Practice Address - Phone:618-884-3385
Practice Address - Fax:508-993-8715
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA34674207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2002892Medicaid
MA2002892Medicaid
A53986Medicare UPIN