Individual
ABIMBOLA B PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09650900
NJ
208600000X
Surgery Physician
285970
NY
208600000X
Surgery Physician
MD482413
PA
2086S0102X
Surgical Critical Care Physician
25MA09650900
NJ
2086S0102X
Surgical Critical Care Physician
285970
NY
2086S0102X
Surgical Critical Care Physician
MD482413
PA
2086S0127X
Trauma Surgery Physician
Primary
25MA09650900
NJ
2086S0127X
Trauma Surgery Physician
285970
NY
2086S0127X
Trauma Surgery Physician
MD482413
PA
Other
Enumeration date
02/02/2011
Last updated
10/24/2023
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