Healthcare Provider Details

I. General information

NPI: 1063724813
Provider Name (Legal Business Name): JOELLE AOUN ABOOD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOELLE AOUN M.D.

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 01/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 LIVERNOIS ROAD HENRY FORD MEDICAL CENTER - WOMEN'S HEALTH
TROY MI
48083
US

IV. Provider business mailing address

6777 W. MAPLE RD, WEST BLOOMFIELD TOWNSHIP, HENRY FORD HOSPITAL
WEST BLOOMFIELD MI
48322
US

V. Phone/Fax

Practice location:
  • Phone: 248-680-6000
  • Fax: 757-594-4735
Mailing address:
  • Phone: 248-325-1000
  • Fax: 757-594-3184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301104545
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: