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Individual
MR. ABRAHAM JACOB
Active
Individual
MR. ABRAHAM JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14874
NH
207Q00000X
Family Medicine Physician
200002
LA
207Q00000X
Family Medicine Physician
MD20222
ME
208M00000X
Hospitalist Physician
Primary
MD20222
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053538
—
LA
Enumeration date
02/27/2006
Last updated
03/22/2021
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