Basic Information
Provider Information
NPI: 1982668836
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABDEL-MISIH
FirstName: MONA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 READS WAY
Address2: STE 201
City: NEW CASTLE
State: DE
PostalCode: 197201607
CountryCode: US
TelephoneNumber: 3027094709
FaxNumber: 3027094551
Practice Location
Address1: 2 READS WAY
Address2: SUITE 201
City: NEW CASTLE
State: DE
PostalCode: 197201607
CountryCode: US
TelephoneNumber: 3027094709
FaxNumber: 3027094551
Other Information
ProviderEnumerationDate: 04/15/2006
LastUpdateDate: 02/25/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD028376EDEY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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