Provider Demographics
NPI:1174589311
Name:ATTAR, LAILA (MD)
Entity type:Individual
Prefix:
First Name:LAILA
Middle Name:
Last Name:ATTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1369
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-3369
Mailing Address - Country:US
Mailing Address - Phone:978-433-0517
Mailing Address - Fax:978-433-8037
Practice Address - Street 1:76 MAIN ST
Practice Address - Street 2:UNIT 1
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1561
Practice Address - Country:US
Practice Address - Phone:978-433-0517
Practice Address - Fax:978-433-8037
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3333130OtherAETNA
MA467256OtherTUFTS
MAAA590OtherHARVARD-PILGRIM
MA970728OtherNETWORK HEALTH
MA2024314Medicaid
MAJ26787OtherBLUE CROSS BLUE SHIELD
MA2024314Medicaid
MA467256OtherTUFTS