Individual
AZZA ABUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-4294
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-4294
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MT224765
PA
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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