| Doctor Name: | DR. MAZEN ISSAM ABBAS |
| NPI Number: | 1790775278 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | DOS-1070 |
| Business Practice Address: | Walter Reed Amc 6900 Georgia Ave Nw Washington, DC - 203070001 |
| Business Phone Number: | 2027826103 |
| Business Fax Number: | |
| Mailing Address: | Walter Reed Amc, 6900 Georgia Ave Nw WASHINGTON |
| State: | DC |
| Postal Code: | 203070001 |
| Phone Number: | 2027826103 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 12/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DOS-1070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |