Individual
DR. MARCEL ABOUASSALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE, ICLL, BALTIMORE, MD 21215-5216
(410) 601-9386
Mailing address
2401 W BELVEDERE AVE, ICLL, BALTIMORE, MD 21215-5216
(410) 601-9386
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
P31353
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P31353
LICENSING NUMBER
MD
Enumeration date
08/17/2015
Last updated
08/17/2015
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