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NPI Code Detail

MEDICARE: DR. MARY T ABED M.D.

MEDICARE: DR. MARY T ABED M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician25MA05677600NJ
2207R00000XInternal Medicine Physician25MA05677600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134185432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY T ABED M.D.
Provider Business Mailing Address
First Line : 120 FRANKLIN ST
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07307-2326
Country : US
Telephone Number : 201-216-9791
Fax Number : 201-216-1362
Provider Business Practice Location Address
First Line : 120 FRANKLIN ST
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07307-2326
Country : US
Telephone Number : 201-216-9791
Fax Number : 201-216-1362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 04/24/2024

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