Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 26158 | CT |
NPI | 1073507851 |
---|---|
Provider Name | Dr. Martin Abrams |
First Address | Plymouth, MA 02360 |
Second Address | Danbury, CT 06810-6148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 21/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001261586 | (05) | CT |
50666 | MA LICENSE (01) | MA |
B39951 | (02) | CT |