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NPI Code Detail

MEDICARE: DEBORAH O ABAITEY MD

MEDICARE: DEBORAH O ABAITEY MD
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
1208000000XPediatrics Physician01076818AIN
2208000000XPediatrics Physician0101253186VA

General Provider Information

NPI Number : 1134555634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH O ABAITEY MD
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DRIVE #117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1818 CAREW ST SUITE 320
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5412
Country : US
Telephone Number : 260-373-5890
Fax Number : 260-422-8444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 05/08/2023

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Directions to “ DEBORAH O ABAITEY MD” Practice Location

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