Organization · NPI-2

Abbas A. Shehadeh MD, PA

Internal Medicine, Interventional Cardiology · West Orange, NJ

NPI number1366550782
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1366550782
Entity type
Organization (NPI-2)
Legal business name
Abbas A. Shehadeh MD, PA
Organization subpart
No
Enumeration date
Aug 26, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0011X Internal Medicine, Interventional Cardiology––Yes

Practice location

111 Northfield Ave
Suite 304
West Orange, NJ 07052-4795

Phone 973-731-0203

Mailing address

111 Northfield Ave
Suite 304
West Orange, NJ 07052-4795

Phone 973-731-0203

Authorized official

Abbas Shehadeh
President
9737310203

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