Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 0101268137 | VA |
Y | 207K00000X | Allergist & Immunologist | MD047818 | DC |
NPI | 1053730655 |
---|---|
Provider Name | Eliane Abou-Jaoude |
First Address | Williamsville, NY 14221-6407 |
Second Address | Washington, DC 20037-1946 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 23/01/2020 |