| Shahida Abbas MD LLC | |
|
1451 Route 88 Suite 12 Brick NJ 08724-2371 | |
| (732) 836-0500 | |
| (732) 836-0502 |
| Full Name | Shahida Abbas MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1451 Route 88, Brick, New Jersey |
| Authorized Official Name and Position | Shahida Abbas (OWNER) |
| Authorized Official Contact | 7328360500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahida Abbas MD LLC 1451 Route 88 Suite 12 Brick NJ 08724-2320 Ph: (732) 836-0500 | Shahida Abbas MD LLC 1451 Route 88 Suite 12 Brick NJ 08724-2371 Ph: (732) 836-0500 |
| NPI Number | 1407065337 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407065337 | NPI | - | NPPES |
| 7753306 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MAO64127 (New Jersey) | Primary |
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