Provider Demographics
NPI:1225761844
Name:ABDELHADY, DINA (OD)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:ABDELHADY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-1105
Mailing Address - Country:US
Mailing Address - Phone:732-710-2055
Mailing Address - Fax:
Practice Address - Street 1:325 GIRARD AVE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-1105
Practice Address - Country:US
Practice Address - Phone:732-710-2055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003914152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist