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Individual
ABRAHAM MATHEW
Active
Individual
ABRAHAM MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036078302
IL
208VP0014X
Interventional Pain Medicine Physician
036078302
IL
Other
Enumeration date
04/21/2006
Last updated
06/11/2008
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