| Philip Abraham Md Llc | |
|
42 State Rd Unit 103 Kittery ME 03904-1810 | |
| (207) 651-7432 | |
| (888) 519-0831 |
| Full Name | Philip Abraham Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 42 State Rd Unit 103, Kittery, Maine |
| Authorized Official Name and Position | Philip Abraham (M. D.) |
| Authorized Official Contact | 2073245968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Abraham Md Llc 42 State Rd Unit 103 Kittery ME 03904-1810 Ph: (207) 324-5968 | Philip Abraham Md Llc 42 State Rd Unit 103 Kittery ME 03904-1810 Ph: (207) 651-7432 |
| NPI Number | 1710145172 |
|---|---|
| Provider Enumeration Date | 06/01/2008 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 8123208469 |
|---|---|
| Medicare Enrollment ID | O20110203000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710145172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 016477 (Maine) | Primary |
| Provider Name | Philip Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497750764 PECOS PAC ID: 1355234006 Enrollment ID: I20040312000784 |
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