Doctor Name: | MR. ALBERT ABRAHAM AMAR |
NPI Number: | 1578705877 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ABOC |
License Number: | 1101003599 |
Business Practice Address: | 115 Coral Reef Ter North Potomac, MD - 208782977 |
Business Phone Number: | 2407657051 |
Business Fax Number: | |
Mailing Address: | 115 Coral Reef Ter, NORTH POTOMAC |
State: | MD |
Postal Code: | 208782977 |
Phone Number: | 2407657051 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 1101003599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |