Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA10956600 | NJ |
Y | 208000000X | Pediatrician | C1-0023876 | DE |
N | 2080P0202X | Pediatric Cardiologist | 251206 | MA |
NPI | 1013265776 |
---|---|
Provider Name | Abbas Haider Zaidi |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2012 |
Last Update Date | 14/07/2021 |