Individual
DR. NICHOLAS ETHAN ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 W 9TH ST, APT 347, CLEVELAND, OH 44113-1031
(617) 717-8557
Mailing address
1300 W 9TH ST, APT 347, CLEVELAND, OH 44113-1031
(617) 717-8557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.122563
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019062000
—
FL
Enumeration date
12/30/2013
Last updated
03/13/2021
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