Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abbey Marie Dallas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679090898

Abbey Marie Dallas is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3959 Broadway, New York, NY 10032-1559 — (212) 305-8504

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence MT230889 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679090898
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

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