Individual
MS. NICOLE CLAUDINE NAMOUR-ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, CHILDREN'S MEDICAL PRACTICE, BALTIMORE, MD 21224-2735
(410) 550-0967
Mailing address
103 HAWTHORNE RD, BALTIMORE, MD 21210-2501
(410) 982-6206
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D67141
MD
208000000X
Pediatrics Physician
P20205
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017696600
—
MD
Enumeration date
02/13/2007
Last updated
03/02/2012
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