Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2349 | NJ |
NPI | 1073626420 |
---|---|
Provider Name | Dr. Burt S Abramson |
First Address | Somerville, NJ 08876-3110 |
Second Address | Somerville, NJ 08876-3110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 26/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U24621 | (02) | NJ |