Provider Demographics
NPI:1871764399
Name:AOUDE, FOUAD N (MD)
Entity type:Individual
Prefix:
First Name:FOUAD
Middle Name:N
Last Name:AOUDE
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:PO BOX 23636
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4487
Mailing Address - Country:US
Mailing Address - Phone:617-402-1000
Mailing Address - Fax:888-864-4428
Practice Address - Street 1:54 HOPEDALE ST STE 6
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747-1732
Practice Address - Country:US
Practice Address - Phone:508-381-2895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA241883207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine