MEDICARE: DR. ROMEO S ABELLA MD

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	MD032542L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	J1744	OTHER		AMERI HEALTH
3	10842190	OTHER		ELDER HEALTH
4	100129	OTHER		KEYSTONE MERCY
5	0053790001	OTHER		KEYSTONE
6	0956215	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1386693968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROMEO S ABELLA MD

Provider Business Mailing Address
First Line	:	915 W CAYUGA ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19124
Country	:	US
Telephone Number	:	215-743-2250
Fax Number	:	215-743-4899

Provider Business Practice Location Address
First Line	:	915 E CAYUGA ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19124-3817
Country	:	US
Telephone Number	:	215-743-2250
Fax Number	:	215-743-4899

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	06/09/2011

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