MEDICARE: ABIGAIL INTERNAL MEDICINE

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1346052248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABIGAIL INTERNAL MEDICINE

Provider Business Mailing Address
First Line	:	412 SUBURBAN DR
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19711-3564
Country	:	US
Telephone Number	:	443-553-6114
Fax Number	:	302-738-4749

Provider Business Practice Location Address
First Line	:	412 SUBURBAN DR
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19711-3564
Country	:	US
Telephone Number	:	443-553-6114
Fax Number	:	302-738-4749

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LUKE HORAH
Credential	:
Telephone Number	:	443-553-6114

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

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Directions to “ABIGAIL INTERNAL MEDICINE ” Practice Location

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