Individual
MRS. MARYAM B. ABDUR-RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, CHRISTIANA HOSPITAL DEPT OF SURGERY, SUITE 2670, NEWARK, DE 19718-2200
(302) 584-2601
(302) 733-4832
Mailing address
200 HYGEIA DRIVE, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000648
DE
363A00000X
Physician Assistant
CS-0000648
DE
363AS0400X
Surgical Physician Assistant
013645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061668248
BCBS
—
Enumeration date
02/24/2009
Last updated
03/15/2021
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