Individual
DR. JACOB T ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 SALT POND RD, SUITE D-4, WAKEFIELD, RI 02879-4314
(401) 789-3694
(401) 789-3748
Mailing address
25 BLUE HERON ROAD, SOUTH KINGSTOWN, RI 02879
(401) 783-1637
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD09004
RI
Other
Enumeration date
12/05/2006
Last updated
12/18/2013
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