Provider Demographics
NPI:1770554008
Name:BAH, ABDOUL (MD)
Entity type:Individual
Prefix:DR
First Name:ABDOUL
Middle Name:
Last Name:BAH
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:PO BOX 390852
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-0024
Mailing Address - Country:US
Mailing Address - Phone:617-447-5044
Mailing Address - Fax:
Practice Address - Street 1:146 BOILER ST.
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02139-0024
Practice Address - Country:US
Practice Address - Phone:617-447-5044
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine