| Ayman L Atallah Md Corp | |
|
505 Se 6th Ave Boynton Beach FL 33435-4921 | |
| (561) 736-8806 | |
| (561) 736-3384 |
| Full Name | Ayman L Atallah Md Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 Se 6th Ave, Boynton Beach, Florida |
| Authorized Official Name and Position | Aymen Atallah (PRESIDENT) |
| Authorized Official Contact | 5617368806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayman L Atallah Md Corp 505 Se 6th Ave Boynton Beach FL 33435-4921 Ph: (561) 736-8806 | Ayman L Atallah Md Corp 505 Se 6th Ave Boynton Beach FL 33435-4921 Ph: (561) 736-8806 |
| NPI Number | 1598073611 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6103015060 |
|---|---|
| Medicare Enrollment ID | O20110106001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598073611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eileen Ginsburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497714620 PECOS PAC ID: 6608858501 Enrollment ID: I20040603001382 |
| Provider Name | Deborah F Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841286143 PECOS PAC ID: 3375527526 Enrollment ID: I20040615001281 |
| Provider Name | Aymen Atallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417902339 PECOS PAC ID: 6305884776 Enrollment ID: I20050418000879 |
| Provider Name | Joan Marie Fiumara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912358078 PECOS PAC ID: 0446548291 Enrollment ID: I20161011000062 |
| Provider Name | Julia Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073022380 PECOS PAC ID: 9739427345 Enrollment ID: I20190206001414 |
| Provider Name | Jill Suzanne Brigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376020990 PECOS PAC ID: 7719226497 Enrollment ID: I20190222002589 |
| Provider Name | Nikki Marlene Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336785443 PECOS PAC ID: 3577949767 Enrollment ID: I20220926000520 |
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