Provider Demographics
NPI:1306114921
Name:ZALAKET, RIMA (PA)
Entity type:Individual
Prefix:
First Name:RIMA
Middle Name:
Last Name:ZALAKET
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:RIMA
Other - Middle Name:
Other - Last Name:ASFOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 EAST ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4597
Mailing Address - Country:US
Mailing Address - Phone:978-687-0156
Mailing Address - Fax:978-688-0425
Practice Address - Street 1:70 EAST ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4597
Practice Address - Country:US
Practice Address - Phone:978-687-0156
Practice Address - Fax:978-688-0425
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.003444363A00000X
MAPA4996363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant