Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | D77248 | MD |
NPI | 1346223906 |
---|---|
Provider Name | Dr. Jeanette M Abell |
First Address | Belfast, ME 04915-4017 |
Second Address | Annapolis, MD 21401-7992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 29/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
422558900 | (05) | MD |
S062-0542 | CAREFIRST BC/BS (01) | MD |