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Contact Information

AZAD ABULKALAM
100 MAIN ST STE 110
KING OF PRUSSIA, PA19406-1385
 Phone: 201-705-9122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AZAD ABULKALAM · (Male)

NPI # 1114491917
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2019
Last updated 01/15/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # 9999999
Hospital affiliation(s) Not Available
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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