IndividualActive
Boutros Ghassibi, MD
NPI 1184723819 · Sports Medicine (Family Medicine) Physician · Lawrence, MA
Provider details
- NPI number
- 1184723819
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 72138 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
34 Haverhill St
Lawrence, MA 01841-2884
Phone: (978) 686-0090
Fax: (978) 681-5963
Approximate (ZIP-level) locationGet directions
Mailing address
34 Haverhill St
Lawrence, MA 01841-2884
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2017-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.