Organization
HEALTHDRIVE PODIATRY GROUP, PC
Active
Parent organization
HEALTHDRIVE PODIATRY GROUP, PC
Other names
HealthDrive Podiatry Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHDRIVE PODIATRY GROUP, PC
Authorized official
DR. SHADI ADIB ABBOUD DPM (TREASUER/PRACTICE DIRECTOR)
(857) 255-0486
Entity
Organization
Contact information
Practice address
103 CARNEGIE CTR, SUITE 300, PRINCETON, NJ 08540-6235
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD, SUITE 500, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7065400
—
NJ
01
—
DN8723
MEDICARE RAILROAD
NJ
Enumeration date
10/22/2007
Last updated
12/31/2019
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