MEDICARE: ROMEO S. ABELLA MD PC

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	261QM2500X	Medical Specialty Clinic/Center	MD032542L	PA

General Provider Information

NPI Number	:	1588973291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROMEO S. ABELLA MD PC

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

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

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROMEO S ABELLA
Credential	:	MD
Telephone Number	:	215-743-2250

Provider Enumeration Date	:	09/29/2010
Last Update Date	:	09/29/2010

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