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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497700272 NPPES
Pennsylvania MEDICAID 000767939

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