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NPI Code Detail

MEDICARE: DR. ANTHONY S. ABDALLA DC

MEDICARE:  DR. ANTHONY S. ABDALLA  DC
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
1111N00000XChiropractorDC006648LPA

General Provider Information

NPI Number : 1932269586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY S. ABDALLA DC
Provider Business Mailing Address
First Line : 7115 TORRESDALE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19135-1312
Country : US
Telephone Number : 215-332-3132
Fax Number : 215-332-3122
Provider Business Practice Location Address
First Line : 7115 TORRESDALE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19135-1312
Country : US
Telephone Number : 215-332-3132
Fax Number : 215-332-3122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ANTHONY S. ABDALLA DC” Practice Location

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