Abaza, Nabil A
Abaza, Nabil A is an individual health care provider with primary practice located at 207 N Broad St , Philadelphia PA 19107-1500. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Abaza, Nabil A can be contacted via phone (215) 561-0562.Contact Information
Primary practice address
207 N Broad St
Philadelphia PA 19107-1500
Phone: (215) 561-0562
Fax: (215) 561-0472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS019318L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DS019318L | Pennsylvania |
Profile Details
| NPI number | 1497700272 |
|---|---|
| LBN Legal business name | Abaza, Nabil A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Apr 29th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497700272 | NPPES |
| Pennsylvania | MEDICAID | 000767939 |
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