Individual
ABDUL HASEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-5369
(610) 402-5959
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39965
IA
207R00000X
Internal Medicine Physician
MD460699
PA
208M00000X
Hospitalist Physician
Primary
MD460699
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528298973
—
IA
01
—
P01087012
RR MEDICARE
IA
Enumeration date
07/20/2009
Last updated
02/08/2021
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