Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A76111 | CA |
N | 207QA0401X | Family Doctor - Addiction Medicine | A76111 | CA |
N | 207QA0505X | Family Doctor - Adult Medicine | A76111 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | A76111 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A76111 | CA |
NPI | 1417977315 |
---|---|
Provider Name | Dr. Paul D Abramson |
First Address | San Francisco, CA 94108-3915 |
Second Address | San Francisco, CA 94108-3915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 29/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A761110 | (05) | CA |
H92718 | (02) |