Provider Demographics
NPI:1790075687
Name:ABDULAAL, MARAM MOHAMED
Entity Type:Individual
Prefix:MRS
First Name:MARAM
Middle Name:MOHAMED
Last Name:ABDULAAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARMEL
Mailing Address - State:PA
Mailing Address - Zip Code:17851-1533
Mailing Address - Country:US
Mailing Address - Phone:570-339-4710
Mailing Address - Fax:
Practice Address - Street 1:129 E CENTRE ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:PA
Practice Address - Zip Code:17921-2010
Practice Address - Country:US
Practice Address - Phone:570-875-2475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist