Provider Demographics
NPI:1225670839
Name:ABC MEDICAL, LLC
Entity Type:Organization
Organization Name:ABC MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF ABC MEDICAL, LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BIED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-441-6830
Mailing Address - Street 1:34 SALEM ST STE 201
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-4614
Mailing Address - Country:US
Mailing Address - Phone:833-394-7998
Mailing Address - Fax:
Practice Address - Street 1:34 SALEM ST STE 201
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-4614
Practice Address - Country:US
Practice Address - Phone:833-394-7998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty