Individual provider · NPI-1

Abdallah Abboud

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number1093442303
StatusActive
Last updated in NPPESAug 5, 2022

Details

NPI
1093442303
Entity type
Individual (NPI-1)
Name
Abdallah Abboud
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 5, 2022
Certification date
Aug 5, 2022
Last updated
Aug 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program57.252746OHYes

Practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Phone 216-778-4486

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1998

Phone 216-778-4486

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