Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | OS003858L | PA |
NPI | 1306947007 |
---|---|
Provider Name | Dr. David A Abbott |
First Address | New Holland, PA 17557 |
Second Address | New Holland, PA 17557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D77436 | (02) | |
OS003858L | PA LIC (01) |