Individual
GEORGE P ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JOHN ST, TROY, PA 16947-1118
(570) 297-2121
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD040594L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01029643
—
NY
05
—
1094324
—
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040074
MEDICARE GROUP
PA
Enumeration date
01/23/2006
Last updated
03/26/2008
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