Individual
ALICE MCCORMICK ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
(413) 773-8435
Mailing address
421 NORTH MAIN, LEEDS, MA 01053
(413) 584-4040
(413) 773-8435
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
78634
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3141691
—
MA
01
—
J31132
BCBS
—
Enumeration date
10/11/2005
Last updated
07/23/2010
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