Individual
JEFFREY MICHAEL ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2940
WV
207X00000X
Orthopaedic Surgery Physician
OS013014
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117146
—
OH
05
—
1021697720001
—
PA
05
—
1021697720002
—
PA
05
—
3810012467
—
WV
Enumeration date
07/17/2007
Last updated
05/22/2020
Update your record
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