Provider Demographics
NPI:1225144405
Name:BAKHOS, ABDEL M (MD)
Entity Type:Individual
Prefix:MR
First Name:ABDEL
Middle Name:M
Last Name:BAKHOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1145 BORDENTOWN AVENUE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1851
Mailing Address - Country:US
Mailing Address - Phone:732-727-7374
Mailing Address - Fax:732-727-6275
Practice Address - Street 1:1145 BORDENTOWN AVENUE
Practice Address - Street 2:SUITE 11
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1851
Practice Address - Country:US
Practice Address - Phone:732-727-7374
Practice Address - Fax:732-727-6275
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA035082207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2971801Medicaid
NJ2971801Medicaid
NHB42828Medicare UPIN