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Contact Information

OMAR ABOUSOUD, MD
255 W LANCASTER AVE
PAOLI, PA19301-1763
 Phone: 484-565-1074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for OMAR ABOUSOUD · (Male)

NPI # 1457642019
Status Active
Credentials MD
Entity Individual
Enumeration date 04/29/2011
Last updated 08/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD465946
Hospital affiliation(s)
  • MAIN LINE HOSPITAL BRYN MAWR CAMPUS - (Acute Care)
    130 SOUTH BRYN MAWR AVE
    BRYN MAWR, PA 19010
  • MAIN LINE HOSPITAL LANKENAU - (Acute Care)
    100 LANCASTER AVE
    WYNNEWOOD, PA 19096
  • MAIN LINE HOSPITAL PAOLI - (Acute Care)
    255 WEST LANCASTER AVENUE
    PAOLI, PA 19301
  • RIDDLE MEMORIAL HOSPITAL - (Acute Care)
    1068 WEST BALTIMORE PIKE
    MEDIA, PA 19063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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