Individual provider · NPI-1

Mohamad Abboud, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number1669212932
StatusActive
Last updated in NPPESMay 25, 2024

Details

NPI
1669212932
Entity type
Individual (NPI-1)
Name
Mohamad Abboud
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 25, 2024
Certification date
May 25, 2024
Last updated
May 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–PAYes

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Phone 215-456-6500

Mailing address

5501 Old York Rd
Philadelphia, PA 19141-3018

Phone 215-456-6500

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