Eltayeb Idris Massabbal in Bridgeton - Neonatal-perinatal Medicine

Eltayeb Idris Massabbal - NPI 1376656488

Eltayeb Idris Massabbal is a Neonatal-perinatal Medicine in Bridgeton, New Jersey. Eltayeb Idris Massabbal practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Eltayeb Idris Massabbal is 1376656488. The last update date is 2023-07-27.

Eltayeb Idris Massabbal's current location address is 333 Irving Ave., Bridgeton, New Jersey. You can contact this provider via phone number 8564516600 and fax number 3026514945. The mailing address for Eltayeb Idris Massabbal is 333 Irving Ave., Bridgeton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Eltayeb Idris Massabbal
Address 333 Irving Ave., Bridgeton, New Jersey
Phone Number 8564516600
Fax Number 3026514945
Sole Proprietor N
Credentials M. D.

NPI Number Detail

NPI Number 1376656488
Provider Enumeration Date 2006-08-16
Last Updated Date 2023-07-27

Provider Mailing Address Detail

Address 333 Irving Ave.
City Bridgeton
State New Jersey (NJ)
Post Code 83022123
Phone Number 8564516600
Fax Number 3026514945

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No MD444793
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D08906700 NJ CDS

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FAQs about Eltayeb Idris Massabbal

What is the unique 10-digit identification code assigned to Eltayeb Idris Massabbal by the Centers for Medicare & Medicaid Services?

The Eltayeb Idris Massabbal has been issued the NPI (National Provider Identifier) 1376656488, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Eltayeb Idris Massabbal's physical address?

The Eltayeb Idris Massabbal is physically located at 333 Irving Ave., in the city of Bridgeton, NJ, with the postal code 83022123.

What is the Eltayeb Idris Massabbal's area of specialization and corresponding taxonomy classification?

The Eltayeb Idris Massabbal's specialty field is Neonatal-perinatal Medicine, and it falls under the taxonomy code 2080N0001X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376656488 to Eltayeb Idris Massabbal?

The Centers for Medicare & Medicaid Services originally issued the 1376656488 to Eltayeb Idris Massabbal on 2006-08-16.

As of what date were the details related to Eltayeb Idris Massabbal most recently updated or revised?

The information pertaining to Eltayeb Idris Massabbal, including its address, specialty, and other relevant details, was last updated or revised on 2023-07-27.

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