Individual
MR. JEFFREY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1180 BEACON ST, SUITE 6C, BROOKLINE, MA 02446-3885
(617) 730-5337
Mailing address
26 ALLSTON ST, APT 14, ALLSTON, MA 02134-2469
(617) 730-5337
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
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