Provider Demographics
NPI:1205861978
Name:ABRAMSON, MARTIN H
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:H
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 THE PADDOCK LN
Mailing Address - Street 2:
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-1127
Mailing Address - Country:US
Mailing Address - Phone:857-364-4314
Mailing Address - Fax:857-364-4506
Practice Address - Street 1:PHARMACY (119)
Practice Address - Street 2:150 SO. HUNTINGTON AVE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:857-364-4314
Practice Address - Fax:857-364-4506
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist