Individual
DR. CHARLES ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
936 INTRACOASTAL DR APT 9B, FORT LAUDERDALE, FL 33304-3632
(413) 822-8682
Mailing address
936 INTRACOASTAL DR APT 9B, FORT LAUDERDALE, FL 33304-3632
(413) 822-8682
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
212898
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
212898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103389
—
MA
01
—
J28682
MASS BS/BS
MA
Enumeration date
06/09/2006
Last updated
08/23/2024
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