Individual
MR. JEFFREY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17154
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3902744
AETNA
MA
01
—
470263
TUFTS
MA
01
—
Y68424
BLUE CROSS
MA
Enumeration date
09/20/2006
Last updated
07/08/2007
Update your record
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