Provider Demographics
NPI:1841760295
Name:ASSAF, INC
Entity Type:Organization
Organization Name:ASSAF, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:COVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-772-7058
Mailing Address - Street 1:48 AUBURN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2438
Mailing Address - Country:US
Mailing Address - Phone:774-772-7058
Mailing Address - Fax:774-772-7059
Practice Address - Street 1:48 AUBURN ST STE 1
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2438
Practice Address - Country:US
Practice Address - Phone:512-744-3860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty