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NPI Code Detail

MEDICARE: ABRAHAM JOSEPH MD

MEDICARE:   ABRAHAM  JOSEPH  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
1207R00000XInternal Medicine Physician44555MN
2208M00000XHospitalist Physician44555MN

General Provider Information

NPI Number : 1912981200
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRAHAM JOSEPH MD
Provider Business Mailing Address
First Line : 800 MEDICAL CENTER DR
Second Line : PO BOX 800
City : FAIRMONT
State : MN
Zip : 56031-4575
Country : US
Telephone Number : 507-238-8555
Fax Number :
Provider Business Practice Location Address
First Line : 800 MEDICAL CENTER DR
Second Line :
City : FAIRMONT
State : MN
Zip : 56031-4575
Country : US
Telephone Number : 507-238-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 04/22/2021

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