Abosamra, Wassim
Abosamra, Wassim is an individual health care provider with primary practice located at 602 East 21St Street , Northampton PA 18067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abosamra, Wassim can be contacted via phone (610) 262-1519.Contact Information
Primary practice address
602 East 21St Street
Northampton PA 18067
Phone: (610) 262-1519
Fax: (610) 262-7125
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD434855 | Pennsylvania |
Profile Details
NPI number | 1972706091 |
---|---|
LBN Legal business name | Abosamra, Wassim |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2007 |
Last updated | Mar 1st, 2016 - about 8 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 | 1972706091 | NPPES |
Pennsylvania | MEDICAID | 1007698380002 | |
Pennsylvania | MEDICAID | 1007698380001 |
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