Provider Demographics
NPI:1427294214
Name:AL-SALEEM, ESSEL DULAIMI (MD)
Entity type:Individual
Prefix:
First Name:ESSEL
Middle Name:DULAIMI
Last Name:AL-SALEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ESSEL
Other - Middle Name:ASAAD
Other - Last Name:AL-DULAIMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 SPARANGO LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1115
Mailing Address - Country:US
Mailing Address - Phone:610-834-0101
Mailing Address - Fax:
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-28
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT186252207ZP0102X
PAMD436478207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology