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NPI Code Detail

MEDICARE: MICALA M ABBIATI PA-C

MEDICARE: MICALA M ABBIATI PA-C
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
1363A00000XPhysician Assistant3090OK
2363A00000XPhysician Assistant1746NH

General Provider Information

NPI Number : 1437702123
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICALA M ABBIATI PA-C
Provider Business Mailing Address
First Line : 360 US HIGHWAY 1 BYP UNIT 102
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7105
Country : US
Telephone Number : 603-410-6700
Fax Number : 603-319-8308
Provider Business Practice Location Address
First Line : 3 NASHUA RD
Second Line :
City : BEDFORD
State : NH
Zip : 03110-5515
Country : US
Telephone Number : 603-472-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 01/15/2025

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Directions to “ MICALA M ABBIATI PA-C” Practice Location

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