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Individual

ELIA CHARBEL ABBOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 W COUNTRY CLUB RD STE 201, ROSWELL, NM 88201-5225
(575) 627-0535
(575) 627-5590
Mailing address
601 W COUNTRY CLUB RD STE 201, ROSWELL, NM 88201-5225
(575) 627-0535
(575) 627-5590

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2021-0248
NM
208C00000X
Colon & Rectal Surgery Physician
MD2021-0248
NM

Other

Enumeration date
04/16/2013
Last updated
08/18/2021
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