Basic Information
Provider Information
NPI: 1033591227
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLAWH
FirstName: RINA
MiddleName: MARY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 860 FIRST AVE STE 8B
Address2:  
City: KING OF PRUSSIA
State: PA
PostalCode: 194064033
CountryCode: US
TelephoneNumber: 6102651166
FaxNumber: 6102651168
Practice Location
Address1: 860 FIRST AVE STE 8B
Address2:  
City: KING OF PRUSSIA
State: PA
PostalCode: 194064033
CountryCode: US
TelephoneNumber: 6102651166
FaxNumber: 6102651168
Other Information
ProviderEnumerationDate: 06/24/2015
LastUpdateDate: 12/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMT209838PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207N00000XMD466884PAY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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