Doctor Name: | JOSEPH NICHOLAS ABRAHAM |
NPI Number: | 1629309000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 07253R |
Business Practice Address: | 515 Roosevelt St Lafayette, LA - 705032112 |
Business Phone Number: | 3372780953 |
Business Fax Number: | 3377691468 |
Mailing Address: | 515 Roosevelt Street, LAFAYETTE |
State: | LA |
Postal Code: | 70503 |
Phone Number: | 3372780953 |
Fax Number: | 3377691468 |
NPI Enumeration Date: | 01/25/2010 |
NPI Last Update Date: | 01/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 07253R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |