Individual provider · NPI-1

Peter Abdelmaseeh Tanagho Abdelmaseeh

Internal Medicine · Philadelphia, PA

NPI number1487208690
StatusActive
Last updated in NPPESJul 25, 2019

Details

NPI
1487208690
Entity type
Individual (NPI-1)
Name
Peter Abdelmaseeh Tanagho Abdelmaseeh
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2019
Last updated
Jul 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMT217424PAYes

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Phone 215-456-8520

Mailing address

5501 Old York Rd
Philadelphia, PA 19141-3018

Phone 215-456-8520

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Philadelphia, PA