Healthcare Provider Details

I. General information

NPI: 1083305478
Provider Name (Legal Business Name): MS. SHARON J ABRAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 CLIFTON AVE
BALTIMORE MD
21216-2502
US

IV. Provider business mailing address

3425 CLIFTON AVE
BALTIMORE MD
21216-2502
US

V. Phone/Fax

Practice location:
  • Phone: 410-945-8507
  • Fax: 410-566-2730
Mailing address:
  • Phone: 410-945-8507
  • Fax: 410-566-2730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberT13818
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: