Provider Demographics
NPI:1437802758
Name:ABDELSLAME, DINA (PA-C, DMS)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:
Last Name:ABDELSLAME
Suffix:
Gender:F
Credentials:PA-C, DMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 US HIGHWAY 46 STE 102
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2448
Mailing Address - Country:US
Mailing Address - Phone:973-779-7979
Mailing Address - Fax:
Practice Address - Street 1:1033 US HIGHWAY 46 STE 102
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2448
Practice Address - Country:US
Practice Address - Phone:973-779-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00669200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant