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Individual

DR. MINI GEORGE ABRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
794 ROBLE RD, ALLENTOWN, PA 18109-9110
(877) 402-4221
(484) 425-8159
Mailing address
460 N APPLE TREE LN, LAFAYETTE HILL, PA 19444-2602
(610) 825-9527
(610) 825-9527

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD420895
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011606100001
PA
01
1641370
BLUE SHIELD
PA
01
2315870000
KEYSTONE HEALTH PLAN EAST
PA
01
30021250
KMHP
PA
Enumeration date
10/31/2005
Last updated
10/11/2016
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