Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 25MA-02986-400 | NJ |
NPI | 1073057543 |
---|---|
Provider Name | Dr. Mohamed Abbassi |
First Address | North Brunswick, NJ 08902-4273 |
Second Address | North Brunswick, NJ 08902-4273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2016 |
Last Update Date | 18/12/2016 |