Individual
SUJA ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7101 OLD YORK RD, PHILADELPHIA, PA 19126-2114
(215) 424-4090
Mailing address
1922 GREENSPRING DR, SUITE 6, TIMONIUM, MD 21093-7603
(410) 308-2300
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP014952
PA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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