Provider Demographics
NPI:1447213608
Name:ABOULAFIA, ALBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:J
Last Name:ABOULAFIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:DEPT OF CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:LAPIDUS CANCER INSTITUTE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-9266
Practice Address - Fax:410-601-4601
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2007-11-21
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Provider Licenses
StateLicense IDTaxonomies
MDD45627207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD00617713AMedicaid
MDK858626ZMedicare PIN
MD00617713AMedicaid