Provider Demographics
NPI:1790931186
Name:ABUATTIEH, MOUHAMMED O (MD)
Entity Type:Individual
Prefix:DR
First Name:MOUHAMMED
Middle Name:O
Last Name:ABUATTIEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:5201 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9113
Practice Address - Country:US
Practice Address - Phone:610-530-4444
Practice Address - Fax:610-366-1343
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD451431207W00000X
MO2012009703207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology