Individual provider · NPI-1
Dr. Matthew Jacob Abella, DO
Student in an Organized Health Care Education/Training Program · New Orleans, LA
NPI number1255035572
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1255035572
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Jacob Abella
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2023
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1415 Tulane AveNew Orleans, LA 70112-2600
Phone 504-988-5263
Mailing address
1430 Tulane Ave # 8654New Orleans, LA 70112-2632
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