Yacoub, Wael

Yacoub, Wael is an individual health care provider with primary practice located at 450 Pershing Blvd , Whitehall PA 18052-6452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yacoub, Wael can be contacted via phone (610) 434-6678.

Contact Information

Primary practice address
450 Pershing Blvd Whitehall PA 18052-6452
Phone: (610) 434-6678
Fax: (610) 434-6671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD418291 Pennsylvania

Profile Details

NPI number 1770546533
LBN Legal business name Yacoub, Wael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1770546533 NPPES
Pennsylvania MEDICAID 0018794480004

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