Healthcare Provider Details

I. General information

NPI: 1043422843
Provider Name (Legal Business Name): ANDREA D ABATI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA ABATI SCOTT

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11820 PARKLAWN DR STE 402 DERMPATH DIAGNOSTICS
ROCKVILLE MD
20852-2556
US

IV. Provider business mailing address

11820 PARKLAWN DR STE 402 DERMPATH DIAGNOSTICS
ROCKVILLE MD
20852-2556
US

V. Phone/Fax

Practice location:
  • Phone: 301-816-1781
  • Fax: 301-816-1785
Mailing address:
  • Phone: 301-816-1781
  • Fax: 301-816-1785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberD0043470
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number163589
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: