Provider Demographics
NPI:1194990887
Name:ABDELMESSIEH, NAWAL IBRAHIM (MD)
Entity type:Individual
Prefix:DR
First Name:NAWAL
Middle Name:IBRAHIM
Last Name:ABDELMESSIEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 NEVDA ST.
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090
Mailing Address - Country:US
Mailing Address - Phone:732-414-8531
Mailing Address - Fax:732-418-8687
Practice Address - Street 1:1727 NEVADA ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2217
Practice Address - Country:US
Practice Address - Phone:732-414-8531
Practice Address - Fax:732-414-8687
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA051734207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5452104Medicaid