Organization
MARIE A ABOUGOU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ABOUGOU (PROVIDER)
(315) 788-0706
Entity
Organization
Contact information
Practice address
428 WASHINGTON ST, SUITE 4, WATERTOWN, NY 13601-3700
(315) 788-0706
(888) 512-9113
Mailing address
428 WASHINGTON ST, SUITE 4, WATERTOWN, NY 13601-3700
(315) 788-0706
(888) 512-9113
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
003258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3072768
—
NY
Enumeration date
07/01/2010
Last updated
07/01/2010
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