Individual provider · NPI-1

Dr. Mark Abdelmalek, M.D.

Dermatology, MOHS-Micrographic Surgery · Philadelphia, PA

NPI number1972543155
StatusActive
Last updated in NPPESFeb 12, 2021

Details

NPI
1972543155
Entity type
Individual (NPI-1)
Name
Dr. Mark Abdelmalek
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 7, 2006
Certification date
Feb 12, 2021
Last updated
Feb 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic SurgeryMD425228PAYes
207N00000X DermatologyMD425228PA
207N00000X Dermatology25MA10197000NJ
207ND0101X Dermatology, MOHS-Micrographic Surgery25MA10197000NJ

Practice location

200 N 16th St Ste D
Philadelphia, PA 19102-1225

Phone 215-315-3197 · Fax 215-689-4466

Mailing address

200 N 16th St Ste D
Philadelphia, PA 19102-1225

Phone 215-315-3197 · Fax 215-689-4466

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