Provider Demographics
NPI:1164813598
Name:KLEROWSKI, ABIGAIL (LAC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:KLEROWSKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PRINCE PL STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2648
Mailing Address - Country:US
Mailing Address - Phone:978-494-6998
Mailing Address - Fax:
Practice Address - Street 1:96 BERKELEY ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2619
Practice Address - Country:US
Practice Address - Phone:207-350-6998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-06
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist