Dr. Shatha Abudamous, MD
Internal Medicine in Paterson, NJ. Individual provider (NPI-1).
NPI number1548746225
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1548746225
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shatha Abudamous
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2018
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA11149300 | NJ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1010 Main St Ste B208Paterson, NJ 07503-2212
Phone 973-574-3740 · Fax 973-574-3741
Mailing address
1010 Main St Ste B208Paterson, NJ 07503-2212
Phone 973-574-3740 · Fax 973-574-3741
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