Basic Information
Provider Information
NPI: 1770045452
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALGHAREEB
FirstName: RIFQA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 234 E 149TH ST STE 8-20
Address2:  
City: BRONX
State: NY
PostalCode: 104515504
CountryCode: US
TelephoneNumber: 7185795874
FaxNumber:  
Practice Location
Address1: 41 MALL RD
Address2:  
City: BURLINGTON
State: MA
PostalCode: 018055504
CountryCode: US
TelephoneNumber: 7817448085
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2019
LastUpdateDate: 08/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X291340MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home