Healthcare Provider Details

I. General information

NPI: 1912903329
Provider Name (Legal Business Name): JAMES HOWARD ABRAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 BAYHILL DR SUITE 305
SAN BRUNO CA
94066-3059
US

IV. Provider business mailing address

423 HURLINGHAM AVE
SAN MATEO CA
94402-1158
US

V. Phone/Fax

Practice location:
  • Phone: 650-866-3097
  • Fax: 650-866-3212
Mailing address:
  • Phone: 650-867-5061
  • Fax: 650-348-4008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG29601
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: