Individual
ERIC ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7046
Mailing address
103 PINE ST, CHESTERTOWN, MD 21620-1208
(410) 507-0257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05498
MD
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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