Individual
DR. RON AVRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 WATER ST STE C105, PLYMOUTH, MA 02360-4026
(401) 457-1500
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
277327
MA
208100000X
Physical Medicine & Rehabilitation Physician
50779
AZ
208100000X
Physical Medicine & Rehabilitation Physician
MD18723
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z179942
MEDICARE PTAN
—
Enumeration date
01/11/2012
Last updated
10/04/2022
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