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Individual

MR. ABRAHAM J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9328 RIDINGS WAY, LAUREL, MD 20723-5832
(301) 257-4046
Mailing address
9328 RIDINGS WAY, LAUREL, MD 20723-5832
(301) 257-4046

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0002792
MD
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
02/21/2006
Last updated
06/03/2021
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