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NPI Code Detail

MEDICARE: DR. ASSEM ABDEL-KADER DDS

MEDICARE:  DR. ASSEM  ABDEL-KADER  DDS
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
1122300000XDentistDS020820LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235112590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASSEM ABDEL-KADER DDS
Provider Business Mailing Address
First Line : 1412 FAIRMOUNT AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-2908
Country : US
Telephone Number : 215-599-4851
Fax Number : 215-232-4093
Provider Business Practice Location Address
First Line : 401-55 W ALLEGHENY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-3644
Country : US
Telephone Number : 215-291-2500
Fax Number : 215-291-2587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 06/15/2011

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Directions to “ DR. ASSEM ABDEL-KADER DDS” Practice Location

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