Healthcare Provider Details

I. General information

NPI: 1760832869
Provider Name (Legal Business Name): AARON STEVEN ABRAMOWSKI AA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE
ALBUQUERQUE NM
87106-2719
US

IV. Provider business mailing address

821 BLUE SAGE AVE SW
LOS LUNAS NM
87031-6625
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2610
  • Fax:
Mailing address:
  • Phone: 440-554-9592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberAA2016-002
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: