Healthcare Provider Details

I. General information

NPI: 1093679490
Provider Name (Legal Business Name): HADEEL ABDALAAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 S 3RD ST APT 343
EASTON PA
18042-4558
US

IV. Provider business mailing address

27 S 3RD ST APT 343
EASTON PA
18042-4558
US

V. Phone/Fax

Practice location:
  • Phone: 646-595-5052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460088
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: