Healthcare Provider Details

I. General information

NPI: 1467413823
Provider Name (Legal Business Name): ABRAHAM KWADU MUNABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 CHESTERBROOK BLVD
CHESTERBROOK PA
19087-5614
US

IV. Provider business mailing address

945 CHESTERBROOK BLVD
CHESTERBROOK PA
19087-5614
US

V. Phone/Fax

Practice location:
  • Phone: 610-981-6000
  • Fax: 610-964-0536
Mailing address:
  • Phone: 610-981-6000
  • Fax: 610-964-0536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD045406E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: