Abraham, Bruce Eugene

Abraham, Bruce Eugene is an individual health care provider with primary practice located at 7404 Executive Pl Ste 503 , Lanham MD 20706-6238. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Abraham, Bruce Eugene can be contacted via phone (240) 641-1052.

Contact Information

Primary practice address
7404 Executive Pl Ste 503 Lanham MD 20706-6238
Phone: (240) 641-1052
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0003799 Maryland

Profile Details

NPI number 1467601914
LBN Legal business name Abraham, Bruce Eugene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Jul 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467601914 NPPES
Maryland MEDICAID 205548100

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