Abuzzahab, Mary Jennifer

Abuzzahab, Mary Jennifer is an individual health care provider with primary practice located at 345 Smith Ave N , Saint Paul MN 55102-2346. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Abuzzahab, Mary Jennifer can be contacted via phone (651) 220-6624.

Contact Information

Primary practice address
345 Smith Ave N Saint Paul MN 55102-2346
Phone: (651) 220-6624
Fax: (651) 220-6064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 42796 Minnesota

Profile Details

NPI number 1174515274
LBN Legal business name Abuzzahab, Mary Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated May 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174515274 NPPES
Minnesota MEDICAID 887951600

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