Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | DN10556 | MA |
NPI | 1851651368 |
---|---|
Provider Name | Dr. Louis M Abbey |
First Address | Lexington, MA 02421-7394 |
Second Address | Cambridge, MA 02141-1802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2012 |
Last Update Date | 18/05/2012 |