Basic Information
Provider Information
NPI: 1356572390
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABED
FirstName: SOZDAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2527 STEELE RD
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212094120
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 401 PURDY ST
Address2:  
City: EASTON
State: MD
PostalCode: 216014060
CountryCode: US
TelephoneNumber: 4108200038
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2009
LastUpdateDate: 11/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XD81461MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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