Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | R246064 | MD |
NPI | 1013511518 |
---|---|
Provider Name | Morgan Paige Abasolo |
First Address | Cape May Court House, NJ 08210-1876 |
Second Address | Berlin, MD 21811-3281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2020 |
Last Update Date | 24/11/2020 |