Provider Demographics
NPI:1497384713
Name:ABDELHAMID, GAMAL L (DNP, APN, CPNP-PC)
Entity type:Individual
Prefix:DR
First Name:GAMAL
Middle Name:L
Last Name:ABDELHAMID
Suffix:
Gender:M
Credentials:DNP, APN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6405
Mailing Address - Country:US
Mailing Address - Phone:201-207-2113
Mailing Address - Fax:
Practice Address - Street 1:21 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6405
Practice Address - Country:US
Practice Address - Phone:201-207-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00746900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics