Individual
JASSON THOMAS ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 EASTERN AVE FL I3, BALTIMORE, MD 21224-2735
(410) 502-7381
(410) 955-7060
Mailing address
6201 GREENLEIGH AVE # MSAG407Q, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D91840
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
BP10053999
TX
Other
Enumeration date
05/18/2015
Last updated
08/03/2021
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