Adjei, Abdul Mutalib

Adjei, Abdul Mutalib is an individual health care provider with primary practice located at 1000 East Mountain Blvd. , Wilkes-Barre PA 18711-3486. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Adjei, Abdul Mutalib can be contacted via phone (570) 808-6150.

Contact Information

Primary practice address
1000 East Mountain Blvd. Wilkes-Barre PA 18711-3486
Phone: (570) 808-6150
Fax: (570) 808-6174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD442429 Pennsylvania

Profile Details

NPI number 1639351760
LBN Legal business name Adjei, Abdul Mutalib
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Aug 26th, 2020 - about 4 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 1639351760 NPPES
Pennsylvania MEDICAID 102926732

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