Basic Information
Provider Information
NPI: 1295703650
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABBI
FirstName: MONICA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 521 MARTIN LUTHER KING JR WAY
Address2:  
City: TACOMA
State: WA
PostalCode: 984054238
CountryCode: US
TelephoneNumber: 2534032900
FaxNumber:  
Practice Location
Address1: 521 MARTIN LUTHER KING JR WAY
Address2:  
City: TACOMA
State: WA
PostalCode: 984054238
CountryCode: US
TelephoneNumber: 2534032900
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/10/2006
LastUpdateDate: 03/16/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4301077949MIN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XMD00047198WAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VX0000XMD00047198WAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
207VM0101XMD00047198WAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
207VB0002XMD00047198WAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyBariatric Medicine
207VC0200XMD00047198WAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care Medicine
207VG0400XMD00047198WAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
207VE0102XMD00047198WAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology

No ID Information.


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