Individual
DR. JACK ABBOUDI
Active
Individual
DR. JACK ABBOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
308173
NY
207XS0106X
Orthopaedic Hand Surgery Physician
25MA09473400
NJ
207XS0106X
Orthopaedic Hand Surgery Physician
308173
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD059555L
PA
Other
Enumeration date
03/28/2006
Last updated
11/03/2021
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