Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgeon | DL-10921 | MA |
NPI | 1396066577 |
---|---|
Provider Name | Dr. Zachary R Abramson |
First Address | Memphis, TN 38111-6834 |
Second Address | Memphis, TN 38105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 11/06/2020 |