Individual provider · NPI-1

Mary Jennifer Abuzzahab, MD

Pediatrics, Pediatric Endocrinology · Saint Paul, MN

NPI number1174515274
StatusActive
Last updated in NPPESMay 7, 2018

Details

NPI
1174515274
Entity type
Individual (NPI-1)
Name
Mary Jennifer Abuzzahab
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2005
Last updated
May 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0205X Pediatrics, Pediatric Endocrinology42796MNYes

Practice location

345 Smith Ave N
Saint Paul, MN 55102-2346

Phone 651-220-6624 · Fax 651-220-6064

Mailing address

5901 Lincoln Drive
Cbc-2-Rev/Pe
Edina, MN 55436-1611

Phone 952-992-5624 · Fax 952-992-6917

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