Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD451614 | PA |
NPI | 1023343779 |
---|---|
Provider Name | Ali Abbas |
First Address | Harrisburg, PA 17104-1612 |
Second Address | York, PA 17403-4510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2009 |
Last Update Date | 09/01/2021 |