Individual
DR. ELIAS MICHAEL ABBOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
261 OLD YORK RD, STE 325, JENKINTOWN, PA 19046-3706
(215) 572-7900
(215) 884-3901
Mailing address
261 OLD YORK RD, THE PAVILION STE 325, JENKINTOWN, PA 19046-3706
(215) 572-7900
(215) 884-3901
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD040110L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407963
BCBS OF PA
PA
05
—
7080246
—
PA
01
—
BA1930797
DFA LICENSE
—
Enumeration date
07/19/2005
Last updated
07/16/2007
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