Individual
STEPHEN A ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 726-9292
Mailing address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 726-9292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
75960
MA
207R00000X
Internal Medicine Physician
75960
MA
207RC0000X
Cardiovascular Disease Physician
75960
MA
207U00000X
Nuclear Medicine Physician
75960
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3093662
—
MA
Enumeration date
10/11/2006
Last updated
02/10/2025
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