MEDICARE: RULA ABBUD-ANTAKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1407241920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RULA ABBUD-ANTAKI

Provider Business Mailing Address
First Line	:	2661 CLEARVIEW RD
Second Line	:	SUITE 1
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-3180
Country	:	US
Telephone Number	:	412-788-4995
Fax Number	:	412-788-0250

Provider Business Practice Location Address
First Line	:	2661 CLEARVIEW RD
Second Line	:	SUITE 1
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-3180
Country	:	US
Telephone Number	:	412-788-4995
Fax Number	:	412-788-0250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	04/01/2015

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Directions to “ RULA ABBUD-ANTAKI ” Practice Location

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