MEDICARE: ROSE KATHLEEN ABATE

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	231H00000X	Audiologist	01415	MD

General Provider Information

NPI Number	:	1245760370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE KATHLEEN ABATE

Provider Business Mailing Address
First Line	:	3122 E NORTHERN PKWY
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21214-1420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 MERCANTILE LN STE 200
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-5340
Country	:	US
Telephone Number	:	240-615-8975
Fax Number	:

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

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	06/12/2017

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Directions to “ ROSE KATHLEEN ABATE ” Practice Location

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