MEDICARE: CLAUDE ABOUCHEDID 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
1	208600000X	Surgery Physician	MA25083	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F03153	OTHER	NJ	HEALTHNET
2	1039639	OTHER	NJ	HORIZON MERCY
3	0086193000	OTHER	NJ	KEYSTONE HPE
4	0730555000	OTHER	NJ	AMERIHEALTH HMO
5	166969	OTHER	NJ	PABS
6	ME212	OTHER	NJ	OXFORD
7	1436698	OTHER	NJ	AETNA
8	0086193000	OTHER	NJ	AMERIHEALTH
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902981152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDE ABOUCHEDID MD

Provider Business Mailing Address
First Line	:	1542 KUSER RD
Second Line	:	SUITE B3
City	:	TRENTON
State	:	NJ
Zip	:	08619-3829
Country	:	US
Telephone Number	:	609-585-2323
Fax Number	:	609-585-0625

Provider Business Practice Location Address
First Line	:	1542 KUSER RD
Second Line	:	SUITE B3
City	:	TRENTON
State	:	NJ
Zip	:	08619-3829
Country	:	US
Telephone Number	:	609-585-2323
Fax Number	:	609-585-0625

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	10/24/2007

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Directions to “ CLAUDE ABOUCHEDID MD” Practice Location

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