Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 8069 | MD |
NPI | 1043247026 |
---|---|
Provider Name | Dr. Aslim Abdullah |
First Address | Laurel, MD 20708 |
Second Address | Laurel, MD 20708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0046325060 | (02) |