Provider Demographics
NPI:1992350839
Name:ASFAW, GIRMA
Entity type:Individual
Prefix:
First Name:GIRMA
Middle Name:
Last Name:ASFAW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HADLEY CT
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-3313
Mailing Address - Country:US
Mailing Address - Phone:617-899-7838
Mailing Address - Fax:
Practice Address - Street 1:9 HADLEY CT
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-3313
Practice Address - Country:US
Practice Address - Phone:617-899-7838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker