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NPI 1073084729

NPI 1073084729 : BRYAN L ABRAMOWITZ MD INC. : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1073084729
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRYAN L ABRAMOWITZ MD INC. 
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Dates
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    Enumeration Date     |    12/06/2018
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    Last Update Date     |    12/06/2018
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Provider Practice Location Address
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    Address Line         |    4282 GENESEE AVE STE 302 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92117-4985
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    Country              |    US
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    Telephone            |    858-836-2491
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    Fax                  |    858-836-2496
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Provider Business Mailing Address
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    Address Line         |    4282 GENESEE AVE STE 302 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92117-4985
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    Country              |    US
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    Telephone            |    858-836-2491
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    Fax                  |    858-836-2496
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. BRYAN L ABRAMOWITZ 
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    Credential           |    MD
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    Telephone            |    858-836-2491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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