Mary Jennifer Abuzzahab
Pediatric Endocrinologist
345 Smith Ave N
Saint Paul
, Minnesota 55102-2346
Mary Jennifer Abuzzahab
Pediatric Endocrinologist
345 Smith Ave N
Saint Paul
, Minnesota 55102-2346
(952) 992-6917
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Mary Jennifer Abuzzahab
- 5901 Lincoln Drive Cbc-2-Rev/pe
- Edina, MN
- Zip : 55436-1611
- Fax : (952) 992-6917
- Phone : (952) 992-5624
Second Address
- Mary Jennifer Abuzzahab
- 345 Smith Ave N
- Saint Paul, MN
- Zip : 55102-2346
- Fax : (651) 220-6064
- Phone : (651) 220-6624
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0205X | Pediatric Endocrinologist | 42796 | MN |
National Provider Identifier
| NPI | 1174515274 |
|---|---|
| Provider Name | Mary Jennifer Abuzzahab |
| First Address | Edina, MN 55436-1611 |
| Second Address | Saint Paul, MN 55102-2346 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2005 |
| Last Update Date | 07/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 887951600 | (05) | MN |
| H32800 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.