Healthcare Provider Details

I. General information

NPI: 1144214032
Provider Name (Legal Business Name): ABRAHAM T SHURLAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 MONTVALE AVE
STONEHAM MA
02180-3647
US

IV. Provider business mailing address

92 MONTVALE AVE STE 1400
STONEHAM MA
02180-3629
US

V. Phone/Fax

Practice location:
  • Phone: 781-279-7040
  • Fax: 781-279-8430
Mailing address:
  • Phone: 781-278-7040
  • Fax: 781-279-8430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number216571
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number216571
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: