Doctor Name: | ABIGAIL K CLASSEN |
NPI Number: | 1891082434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | OT014349 |
Business Practice Address: | 400 E Germantown Pike East Norriton, PA - 194016506 |
Business Phone Number: | 6109940063 |
Business Fax Number: | 6109940064 |
Mailing Address: | Po Box 758952, BALTIMORE |
State: | MD |
Postal Code: | 212758952 |
Phone Number: | 8049685700 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2011 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OT014349 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |