Individual provider · NPI-1

Dr. Jack Abboudi, M.D.

Orthopaedic Surgery, Hand Surgery · Bryn Mawr, PA

NPI number1790746162
StatusActive
Last updated in NPPESNov 3, 2021

Details

NPI
1790746162
Entity type
Individual (NPI-1)
Name
Dr. Jack Abboudi
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2006
Certification date
Nov 3, 2021
Last updated
Nov 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0106X Orthopaedic Surgery, Hand SurgeryMD059555LPAYes
207X00000X Orthopaedic Surgery308173NY
207XS0106X Orthopaedic Surgery, Hand Surgery25MA09473400NJ
207XS0106X Orthopaedic Surgery, Hand Surgery308173NY

Practice location

825 Old Lancaster Rd
Bryn Mawr, PA 19010-3231

Phone 800-321-9999 · Fax 267-479-1321

Mailing address

833 Chestnut St Ste 502
Philadelphia, PA 19107-4405

Phone 800-321-9999 · Fax 267-339-3761

Other practice locations

925 Chestnut Street
Fifth Floor
Philadelphia, PA 19107

Phone 267-339-3500 · Fax 215-503-0580

400 Enterprise Dr
Limerick, PA 19468-1218

Phone 800-321-9999 · Fax 267-479-1321

650 Carnegie Blvd Ste 220a
Malvern, PA 19355-0367

Phone 800-321-9999 · Fax 267-479-1321

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