Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD473013 | PA |
NPI | 1043663966 |
---|---|
Provider Name | Jana Havranova Abraham |
First Address | Berwyn, PA 19312-3805 |
Second Address | Berwyn, PA 19312-3805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2016 |
Last Update Date | 13/09/2021 |