Organization
ABDO J. FADDOUL, M.D. A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDO JOSEPH FADDOUL M.D. (PRESIDENT-OWNER)
(916) 786-3100
Entity
Organization
Contact information
Practice address
2 MEDICAL PLAZA, SUITE 285, ROSEVILLE, CA 95661
(916) 786-3100
(916) 786-9433
Mailing address
2 MEDICAL PLAZA, SUITE 285, ROSEVILLE, CA 95661
(916) 786-3100
(916) 786-9433
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A41062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A416020
—
CA
Enumeration date
08/06/2010
Last updated
08/06/2010
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