Healthcare Provider Details

I. General information

NPI: 1992487078
Provider Name (Legal Business Name): BRITTANY ABBATE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 COLUMBIA 100 PKWY STE E
COLUMBIA MD
21045-2336
US

IV. Provider business mailing address

7010 GOLDEN CRST
ELKRIDGE MD
21075-1002
US

V. Phone/Fax

Practice location:
  • Phone: 443-499-9109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberC0008956
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0008956
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: