| Organization Name: | KIM M ABDALLA |
| NPI Number: | 1558549055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM MARIE DI GIACOMO (PODIATRIST) |
| Mailing Address: | 2370 York Rd Suite D2 Jamison |
| State: | PA US |
| Postal Code: | 189291031 |
| Phone Number: | 2153432800 |
| Fax Number: | 2154911750 |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | SC003199L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |