Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD450234 | PA |
N | 2080P0208X | Pediatric Infectious Diseases | MD450234 | PA |
NPI | 1023273943 |
---|---|
Provider Name | Dr. Mayssa Abuali |
First Address | Philadelphia, PA 19141-3018 |
Second Address | Philadelphia, PA 19141-3098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 05/03/2020 |