Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 0420006878 | VT |
NPI | 1437174703 |
---|---|
Provider Name | Dr. Leslie S Abramson |
First Address | Waterbury, VT 05676-1729 |
Second Address | Waterbury, VT 05676-1729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005598 | (05) | VT |
1255673109 | (05) | VT |
1437174703 | (05) | VT |
A92061 | (05) | NY |
A92061 | (02) | VT |