MEDICARE: JAMES H. ABRAMS, M.D., A PROFESSIONAL CORPORATION

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	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1417310624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES H. ABRAMS, M.D., A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	423 HURLINGHAM AVE
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94402-1158
Country	:	US
Telephone Number	:	650-867-5061
Fax Number	:	650-348-4008

Provider Business Practice Location Address
First Line	:	1250 BAYHILL DR
Second Line	:	SUITE 305
City	:	SAN BRUNO
State	:	CA
Zip	:	94066-3059
Country	:	US
Telephone Number	:	650-866-3097
Fax Number	:	650-866-3212

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES HOWARD ABRAMS
Credential	:	M.D.
Telephone Number	:	650-867-5061

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	04/12/2017

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