Healthcare Provider Details

I. General information

NPI: 1063477529
Provider Name (Legal Business Name): SEMAAN M ABBOUD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32711 LONG NECK RD
MILLSBORO DE
19966-6678
US

IV. Provider business mailing address

PO BOX 4110
WOBURN MA
01888-4110
US

V. Phone/Fax

Practice location:
  • Phone: 302-945-9730
  • Fax:
Mailing address:
  • Phone: 302-945-9730
  • Fax: 302-945-9732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0003983
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberC1-0003983
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: