Provider Demographics
NPI:1528165685
Name:BESSIM, SIBEL NEFISE (MD)
Entity type:Individual
Prefix:
First Name:SIBEL
Middle Name:NEFISE
Last Name:BESSIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WASHINGTON STREET
Mailing Address - Street 2:ABOUT WOMEN BY WOMEN
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5568
Mailing Address - Country:US
Mailing Address - Phone:781-263-0033
Mailing Address - Fax:781-263-0098
Practice Address - Street 1:30 WASHINGTON STREET
Practice Address - Street 2:ABOUT WOMEN BY WOMEN
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-5568
Practice Address - Country:US
Practice Address - Phone:781-263-0033
Practice Address - Fax:781-263-0098
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA72547207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA130097OtherHPHC
MA3119351Medicaid
MA072547OtherTAHP
MABEJ14382OtherBCBS
MA700594OtherUNITED HEALTH CARE
MA700594OtherUNITED HEALTH CARE
MAF72441Medicare UPIN