Individual
AHMED K ABOU-TALEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CLARA MAASS DRIVE, BELLEVILLE, NJ 07109-3550
(973) 844-4080
Mailing address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 844-4080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1583341
NY
207R00000X
Internal Medicine Physician
25MA07875500
NJ
Other
Enumeration date
07/04/2006
Last updated
10/08/2010
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