Individual
DR. ROBERT ABOUASSALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-5661
(216) 844-1900
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35086995
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066980
—
OH
01
—
P00880279
RR MEDICARE
OH
Enumeration date
03/03/2008
Last updated
02/15/2011
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