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MARIE A ABOUGOU MD PC NPI 1467763748


NPI Information

NPI: 1467763748
Provider Name: MARIE A ABOUGOU MD PC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
428 WASHINGTON ST
SUITE 4
WATERTOWN, NY
ZIP 13601
Phone: (315) 788-0706
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MARIE A ABOUGOU MD PC is an obstetrics obstetrics gynecology in Watertown, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee MARIE A ABOUGOU MD PC NPI is 1467763748. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

428 WASHINGTON ST
SUITE 4
WATERTOWN, NY
ZIP 13601-700
Phone: (315) 788-0706
Fax: (888) 512-9113

The provider's authorized official is Marie Abougou .
The authorized official title is Provider and has the following contact phone number (315) 788-0706.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 7/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics003258NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13072768MEDICAIDNEW YORK
2J400001464MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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