MEDICARE: KAREN ABBOUD

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
1	122300000X	Dentist	22DI03077900	NJ

General Provider Information

NPI Number	:	1659121259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ABBOUD

Provider Business Mailing Address
First Line	:	193 AIRMOUNT AVE
Second Line	:
City	:	RAMSEY
State	:	NJ
Zip	:	07446-1201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MADISON AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6136
Country	:	US
Telephone Number	:	973-971-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	02/03/2026

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