Marie a Abougou MD PC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

003258 Issued in NY

Legal business name

MARIE A ABOUGOU MD PC

Practice address

428 Washington St
Suite 4
Watertown, NY 13601-3700

Phone

(315) 788-0706

Fax

(888) 512-9113

NPI assigned

Jul 1, 2010

Last updated

Jul 1, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Abougou

Title

Provider

Phone

(315) 788-0706

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1467763748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WASHINGTON ST",
            "address_2": "SUITE 4",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013700",
            "telephone_number": "315-788-0706",
            "fax_number": "888-512-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WASHINGTON ST",
            "address_2": "SUITE 4",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013700",
            "telephone_number": "315-788-0706",
            "fax_number": "888-512-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE A ABOUGOU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "ABOUGOU",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "315-788-0706"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "003258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072768",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda J Mannigan, PT, DPT
• Brittany Bliss Manninen, RPH
• Marisa Ann Marcellus, OTR
• Martina L Marcinko
• Sandra Marcinko
• Nicole Marie Marks, MSPT
• Barbara Marlow, RN
• Jillian Young Marra, FNP-C
• Debra R Marsala, ANP
• Edwin Marshall, MD

• Obstetrics Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Obstetrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.