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Organization
MATTHEW MACK ABRAHAM, LLC
Active
Organization
MATTHEW MACK ABRAHAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MACK ABRAHAM M.D. (OWNER)
(337) 289-5605
Entity
Organization
Contact information
Practice address
100 ASMA BLVD, BLDG ONE, STE 205, LAFAYETTE, LA 70508-3858
(337) 289-5605
(337) 289-5609
Mailing address
100 ASMA BLVD, BLDG ONE, STE 205, LAFAYETTE, LA 70508-3858
(337) 289-5605
(337) 289-5609
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD024082
LA
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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