Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 235152 | MA |
Y | 2086S0129X | Vascular Surgeon | D70352 | MD |
NPI | 1063675908 |
---|---|
Provider Name | Dr. Christopher Joseph Abularrage |
First Address | Baltimore, MD 21264-4563 |
Second Address | Baltimore, MD 21287-0005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 31/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
540033300 | (05) | MD |