Organization
HEALTHDRIVE PODIATRY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADI ADIB ABBOUD DPM (TREASURER/PRACTICE DIRECTOR)
(857) 255-0486
Entity
Organization
Contact information
Practice address
6700 ALEXANDER BELL DR, SUITE 200, COLUMBIA, MD 21046-2122
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD, SUITE 300, 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
—
562902100
—
MD
Enumeration date
03/04/2014
Last updated
11/01/2020
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