Individual
MR. BALLAH A KABBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6418 ELMWOOD AVE, PHILADELPHIA, PA 19142-3110
(267) 701-3341
Mailing address
6418 ELMWOOD AVE, PHILADELPHIA, PA 19142-3110
(267) 701-3341
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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