Provider Demographics
NPI:1578248464
Name:HUSSEIN, ABDALLAH H (MD)
Entity Type:Individual
Prefix:
First Name:ABDALLAH
Middle Name:H
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103
Mailing Address - Country:US
Mailing Address - Phone:856-757-3500
Mailing Address - Fax:856-886-6061
Practice Address - Street 1:1600 HADDON AVENUE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-757-3500
Practice Address - Fax:856-886-6061
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2024-03-27
Deactivation Date:2024-01-25
Deactivation Code:
Reactivation Date:2024-03-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program