MEDICARE: DR. RONALD D ABRAMSON 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
1	2084P0800X	Psychiatry Physician	30745	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326045022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD D ABRAMSON M.D.

Provider Business Mailing Address
First Line	:	25 MAIN ST
Second Line	:	SUITE 7
City	:	WAYLAND
State	:	MA
Zip	:	01778-5036
Country	:	US
Telephone Number	:	508-655-9127
Fax Number	:	508-655-1270

Provider Business Practice Location Address
First Line	:	25 MAIN ST
Second Line	:	SUITE 7
City	:	WAYLAND
State	:	MA
Zip	:	01778-5036
Country	:	US
Telephone Number	:	508-655-9127
Fax Number	:	508-655-1270

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	12/21/2009

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