Organization Name: | CARMELA ABESSINIO PC |
NPI Number: | 1316193436 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMELA ABESSINIO (OWNER) |
Mailing Address: | 15450 E Jefferson Ave Ste 150 Grosse Pointe |
State: | MI US |
Postal Code: | 482302028 |
Phone Number: | 3138851320 |
Fax Number: | 3138851325 |
NPI Enumeration Date: | 08/08/2008 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 5101011019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |