MEDICARE: DR. MARC E ABRAMSON MD

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	207L00000X	Anesthesiology Physician	38824	KY
2	207L00000X	Anesthesiology Physician	2208	VI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000355011	OTHER	KY	IND BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730264110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC E ABRAMSON MD

Provider Business Mailing Address
First Line	:	PO BOX 7098
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00823-7098
Country	:	US
Telephone Number	:	340-778-3611
Fax Number	:

Provider Business Practice Location Address
First Line	:	4007 ESTATE DIAMOND RUBY
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4435
Country	:	US
Telephone Number	:	340-778-6311
Fax Number	:	888-686-4557

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/28/2018

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