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Individual

JON STUART ABRAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
22206
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10139
BLUE CROSS
05
214175000
WV
01
46689
MEDCOST
01
5298147
AETNA
05
6760198
VA
05
8910139
NC
01
PARTNERS
2899
05
Q22206
SC
Enumeration date
12/07/2005
Last updated
04/16/2010
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