Basic Information
| Provider Information | |||||||||
| NPI: | 1972811966 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABDO | ||||||||
| FirstName: | ALAIN | ||||||||
| MiddleName: | ELIAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3501 SAINT PAUL ST | ||||||||
| Address2: | APPT. 924 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212182703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8604020122 | ||||||||
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| Practice Location | |||||||||
| Address1: | 900 S CATON AVE | ||||||||
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| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212295201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103682718 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2010 | ||||||||
| LastUpdateDate: | 09/23/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | P25905 | MD | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.