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Individual

PAUL S ABDALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
515 MINOR AVE, SUITE 300, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9605

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00013277
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110082677
PALMETTO RR MEDICARE
WA
01
49512
LABOR & INDUSTRY
WA
01
5891740001
DME
WA
05
8152449
WA
01
AB6449
REGENCE
WA
Enumeration date
09/30/2005
Last updated
03/06/2008
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