Individual
DR. ANNIE ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, SUITE 370 NORTH, WORCESTER, MA 01608-1216
(508) 363-7300
(508) 363-9688
Mailing address
123 SUMMER STREET, SUITE 370 NORTH, WORCESTER, MA 01608-1312
(508) 363-7300
(508) 363-9688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BA1315515
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099181
—
MA
Enumeration date
07/11/2006
Last updated
04/25/2008
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