MEDICARE: DR. HANY F ABDEL D.O.

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	207R00000X	Internal Medicine Physician	OS007469-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OS007469-L	OTHER	PA	STATE LICENSE #

General Provider Information

NPI Number	:	1164467262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANY F ABDEL D.O.

Provider Business Mailing Address
First Line	:	1 W ELM ST
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-4108
Country	:	US
Telephone Number	:	610-567-5265
Fax Number	:	610-567-6955

Provider Business Practice Location Address
First Line	:	500 W GERMANTOWN PIKE
Second Line	:	SUITE 1020
City	:	PLYMOUTH MEETING
State	:	PA
Zip	:	19462-1353
Country	:	US
Telephone Number	:	610-941-4208
Fax Number	:	610-941-4158

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

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	10/03/2012

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