Provider Demographics
NPI:1992793756
Name:ABUJUDEH, HANI (MD)
Entity type:Individual
Prefix:
First Name:HANI
Middle Name:
Last Name:ABUJUDEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL STREET
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1163
Mailing Address - Country:US
Mailing Address - Phone:856-382-6625
Mailing Address - Fax:856-412-5229
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:B-23
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2380
Practice Address - Fax:856-365-0472
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2229362085R0202X
NJ25MA070863002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology