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NPI Code Detail

MEDICARE: REUBEN E ABRAHAM M.D.

MEDICARE:   REUBEN E ABRAHAM  M.D.
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
1207R00000XInternal Medicine PhysicianD0077902MD

General Provider Information

NPI Number : 1245522143
Entity Type Code : Individual
Provider Name (Legal Business Name) : REUBEN E ABRAHAM M.D.
Provider Business Mailing Address
First Line : 3401 BOX HILL CORPORATE CENTER DR STE 100
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1200
Country : US
Telephone Number : 410-671-0017
Fax Number :
Provider Business Practice Location Address
First Line : 3401 BOX HILL CORPORATE CENTER DR STE 100
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1200
Country : US
Telephone Number : 410-671-0017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2011
Last Update Date : 09/11/2014

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Directions to “ REUBEN E ABRAHAM M.D.” Practice Location

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