MEDICARE: DR. BURT S ABRAMSON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	2349	NJ

General Provider Information

NPI Number	:	1073626420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BURT S ABRAMSON D.D.S.

Provider Business Mailing Address
First Line	:	348 E MAIN ST
Second Line	:
City	:	SOMERVILLE
State	:	NJ
Zip	:	08876-3110
Country	:	US
Telephone Number	:	908-722-0850
Fax Number	:

Provider Business Practice Location Address
First Line	:	348 E MAIN ST
Second Line	:
City	:	SOMERVILLE
State	:	NJ
Zip	:	08876-3110
Country	:	US
Telephone Number	:	908-722-0850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	07/26/2007

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