Abraham, Stephen A
Abraham, Stephen A is an individual health care provider with primary practice located at 55 Fruit Street Massachusetts General Hospital, Boston MA 02114. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nuclear Medicine. Other Service Providers / Specialist is his primary health care specialty. Abraham, Stephen A can be contacted via phone (617) 726-9292.Contact Information
Primary practice address
55 Fruit Street Massachusetts General Hospital
Boston MA 02114
Phone: (617) 726-9292
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 75960 | Massachusetts |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 75960 | Massachusetts |
Other Service Providers / Specialist | 174400000X | 75960 | Massachusetts |
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 75960 | Massachusetts |
Profile Details
NPI number | 1487743316 |
---|---|
LBN Legal business name | Abraham, Stephen A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2006 |
Last updated | Oct 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487743316 | NPPES |
Massachusetts | MEDICAID | 3093662 |
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