MEDICARE: ELSAYED O ABDELSALAM 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	208000000X	Pediatrics Physician	35C.003551	OH
2	208000000X	Pediatrics Physician	MA08647700	NJ
3	208000000X	Pediatrics Physician	C1-0009475	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MA08647700	OTHER	NJ	STATE LICENSE
2	35C-003551	OTHER	OH	OH
3	C1-0009475	OTHER	DE	DE LICENSE

General Provider Information

NPI Number	:	1679714935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELSAYED O ABDELSALAM MD

Provider Business Mailing Address
First Line	:	120 OLD CAMDEN RD STE B
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-5501
Country	:	US
Telephone Number	:	302-883-3266
Fax Number	:	302-883-3084

Provider Business Practice Location Address
First Line	:	120 OLD CAMDEN ROAD
Second Line	:	SUITE B
City	:	CAMDEN
State	:	DE
Zip	:	19934
Country	:	US
Telephone Number	:	302-883-3266
Fax Number	:	302-883-3084

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

Provider Enumeration Date	:	03/17/2009
Last Update Date	:	01/27/2026

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