Provider Demographics
NPI:1316163231
Name:ABBE, JEAN SKOGLUND (MD)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:SKOGLUND
Last Name:ABBE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1218 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-3973
Mailing Address - Country:US
Mailing Address - Phone:510-865-7453
Mailing Address - Fax:
Practice Address - Street 1:450 GOLDEN GATE AVE
Practice Address - Street 2:ROOM 5284
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3661
Practice Address - Country:US
Practice Address - Phone:415-436-7910
Practice Address - Fax:415-436-7917
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG157742083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine