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NPI Code Detail

MEDICARE: AMAL WAIL ABUKWAIK DO

MEDICARE: AMAL WAIL ABUKWAIK DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNJ

General Provider Information

NPI Number : 1013855212
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAL WAIL ABUKWAIK DO
Provider Business Mailing Address
First Line : 1505 W SHERMAN AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-7059
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1505 W SHERMAN AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-7059
Country : US
Telephone Number : 856-641-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ AMAL WAIL ABUKWAIK DO” Practice Location

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