MEDICARE: AHMED M. ABDELAL, PHD

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1265663108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHMED M. ABDELAL, PHD

Provider Business Mailing Address
First Line	:	27 HUNTINGTON RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4714
Country	:	US
Telephone Number	:	508-732-0109
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 HUNTINGTON RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4714
Country	:	US
Telephone Number	:	508-732-0109
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. AHMED M ABDELAL
Credential	:	PHD, CCC/SLP
Telephone Number	:	508-732-0109

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	07/27/2009

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