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Individual

DR. MARK ABDELMALEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 N 16TH ST STE D, PHILADELPHIA, PA 19102-1225
(215) 315-3197
(215) 689-4466
Mailing address
200 N 16TH ST STE D, PHILADELPHIA, PA 19102-1225
(215) 315-3197
(215) 689-4466

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA10197000
NJ
207N00000X
Dermatology Physician
MD425228
PA
207ND0101X
MOHS-Micrographic Surgery Physician
25MA10197000
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD425228
PA

Other

Enumeration date
06/07/2006
Last updated
02/12/2021
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