MEDICARE: DR. MITCHELL ABRAMSON M.D.

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	207R00000X	Internal Medicine Physician	58609	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6963	OTHER	MA	HARVARD PILGRIM HEALTH CA
4	728626	OTHER	MA	TUFTS HEALTH PLAN
5	J07067	OTHER	MA	BLUE CROSS BLUE SHIELD
6	04-00887	OTHER		UNITED HEALTHCARE
7	04-00194	OTHER		EVERCARE
8	92420	OTHER		AETNA US HEALTHCARE
9	P1495755	OTHER		OXFORD HEALTH PLANS

General Provider Information

NPI Number	:	1417952284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHELL ABRAMSON M.D.

Provider Business Mailing Address
First Line	:	65 WALNUT ST STE 330
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-2154
Country	:	US
Telephone Number	:	617-630-0380
Fax Number	:	617-630-2026

Provider Business Practice Location Address
First Line	:	65 WALNUT ST STE 330
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-2154
Country	:	US
Telephone Number	:	617-630-0380
Fax Number	:	617-630-2026

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/16/2022

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