Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2214 | MA |
Y | 222Z00000X | Podiatrist | 2214 | MA |
N | 213ES0131X | Foot Surgery | 2214 | MA |
NPI | 1104880475 |
---|---|
Provider Name | Dr. George A Abboud |
First Address | Reading, MA 01867-3271 |
Second Address | Reading, MA 01867-3271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 14/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0032914 | NEIGHBOORHOOD HEALTH PLAN (01) | MA |
0364860 | (05) | MA |
470022 | TUFTS HEALTH CARE (01) | MA |
8149109 | CIGNA (01) | MA |
AA14775 | HARVARD PILGRIM HELATHCAR (01) | MA |
V00555 | (02) | |
Y71118 | BLUE CROSS\BLUE SHIELD (01) | MA |