Graziella M Abu-Jawdeh, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Salem, MA
NPI 1477529618 · NPPES record last updated Jan 14, 2020
Key facts
- NPI
- 1477529618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 75775 (MA)
- Practice address
- 81 Highland Ave
Salem Hospital
Salem, MA 01970-2714 - Phone
- (978) 354-4161
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75775 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Pathologists of Dallas | Past | Accepting new patients | |
| Prism Pathology LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 75775 | MA | Yes |
Addresses
Primary practice location
81 Highland Ave
Salem Hospital
Salem, MA 01970-2714
Mailing address
81 Highland Ave
Salem Hospital
Salem, MA 01970-2714
Phone (978) 354-4161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3094197 | Medicaid | MA |
Other providers in Salem, MA
- Jenny Abarca
- Robyn Amelia Abernathy
- Lizaveta Aboishava
- Howard E Abrams
- Yarlenee Abreu
- Yari Acevedo
- Margaret Ann Ackerman
- Alannah Rain Acosta
- Pablo Acosta
- Leslie Marie Adams
All providers in Salem, MA · Anatomic Pathology & Clinical Pathology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.