Organization
PENNJE LABORATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED A ABDULLA MD, FCAP (MEDICAL DIRECTOR)
(484) 821-0520
Entity
Organization
Contact information
Practice address
2591 BAGLYOS CIRCLE, SUITE C-48, BETHLEHEM, PA 18020
(484) 821-0520
(484) 821-0530
Mailing address
2591 BAGLYOS CIRCLE, SUITE C-48, BETHLEHEM, PA 18020
(484) 821-0520
(484) 821-0530
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MYC-232717
NY
207ZC0500X
Cytopathology Physician
NJ-25MA07827100
NJ
207ZC0500X
Cytopathology Physician
PA-MD047282L
PA
207ZD0900X
Dermatopathology (Pathology) Physician
NJ-25MA07827100
NJ
207ZD0900X
Dermatopathology (Pathology) Physician
NY-232717
NY
207ZD0900X
Dermatopathology (Pathology) Physician
PA-MD047282L
PA
207ZP0101X
Anatomic Pathology Physician
NJ-25MA07827100
NJ
207ZP0101X
Anatomic Pathology Physician
NYC-232717
NY
207ZP0101X
Anatomic Pathology Physician
Primary
PA-MD047282L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060275
—
PA
Enumeration date
05/11/2009
Last updated
05/11/2009
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