MEDICARE: DR. ABRAHAM T SHURLAND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	216571	MA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	216571	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144214032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABRAHAM T SHURLAND MD

Provider Business Mailing Address
First Line	:	92 MONTVALE AVE STE 1400
Second Line	:
City	:	STONEHAM
State	:	MA
Zip	:	02180-3629
Country	:	US
Telephone Number	:	781-278-7040
Fax Number	:	781-279-8430

Provider Business Practice Location Address
First Line	:	92 MONTVALE AVE
Second Line	:
City	:	STONEHAM
State	:	MA
Zip	:	02180-3647
Country	:	US
Telephone Number	:	781-279-7040
Fax Number	:	781-279-8430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	06/11/2024

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