MEDICARE: SALMA ABDALLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363AM0700X	Medical Physician Assistant
2	363AS0400X	Surgical Physician Assistant
3	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1437973047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALMA ABDALLA

Provider Business Mailing Address
First Line	:	9 E 1ST ST
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-3401
Country	:	US
Telephone Number	:	201-496-7181
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 E 1ST ST
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-3401
Country	:	US
Telephone Number	:	201-496-7181
Fax Number	:

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

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	11/11/2024

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Directions to “ SALMA ABDALLA ” Practice Location

Language	Start Address	Practice Location

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