Healthcare Provider Details
I. General information
NPI: 1427294214
Provider Name (Legal Business Name): ESSEL DULAIMI AL-SALEEM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/28/2008
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
140 NUTT RD
PHOENIXVILLE PA
19460-3906
US
IV. Provider business mailing address
PO BOX 13579
READING PA
19612-3579
US
V. Phone/Fax
- Phone: 610-983-1160
- Fax:
- Phone: 484-628-1324
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZH0000X |
| Taxonomy | Hematology (Pathology) Physician |
| License Number | MD436478 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | MD436478 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: