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1699666859 NPI number — JEFFREY ABBOUD MD PLASTIC SURGERY PLLC

NPI Number: 1699666859
Health Care Provider/Practitioner: JEFFREY ABBOUD MD PLASTIC SURGERY PLLC

Information about “1699666859” NPI (JEFFREY ABBOUD MD PLASTIC SURGERY PLLC) exists in 1699666859 in HTML format HTML  |  1699666859 in plain Text format TXT  |  1699666859 in PDF (Portable Document Format) PDF  |  1699666859 in an XML format XML  formats.

NPI Number : 1699666859 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699666859",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JEFFREY ABBOUD MD PLASTIC SURGERY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "306-770 BROADVIEW AVE.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OTTAWA",
    "MailingAddressStateName": "ONTARIO",
    "MailingAddressPostalCode": "K2A 3Z3",
    "MailingAddressCountryCode": "CA",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "32 STILES RD STE 204",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALEM",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03079-2894",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-894-9898",
    "PracticeLocationAddressFaxNumber": "603-894-6270",
    "EnumerationDate": "07/14/2025",
    "LastUpdateDate": "07/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ABBOUD",
    "AuthorizedOfficialFirstName": "JEFFREY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "613-240-7126",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208200000X",
        "TaxonomyName": "Plastic Surgery Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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