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Organization
SHAHIDA ABBAS MD LLC
Active
Organization
SHAHIDA ABBAS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIDA ABBAS M.D (OWNER)
(732) 836-0500
Entity
Organization
Contact information
Practice address
1451 ROUTE 88, SUITE 12, BRICK, NJ 08724-2371
(732) 836-0500
(732) 836-0502
Mailing address
1451 ROUTE 88, SUITE 12, BRICK, NJ 08724-2320
(732) 836-0500
(732) 836-0502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MAO64127
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7753306
—
NJ
Enumeration date
05/21/2007
Last updated
06/07/2011
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