Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | MT 198779 | PA |
NPI | 1013296292 |
---|---|
Provider Name | Kamal Kamel |
First Address | Newtown, PA 18940-1873 |
Second Address | Langhorne, PA 19047-8304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2011 |
Last Update Date | 25/05/2021 |