Provider Demographics
NPI:1245243922
Name:ABRAMOWITZ, NICOLE T (MD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:T
Last Name:ABRAMOWITZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3180 MAIN ST
Mailing Address - Street 2:SUITE G-1
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-4237
Mailing Address - Country:US
Mailing Address - Phone:203-371-7111
Mailing Address - Fax:203-372-5636
Practice Address - Street 1:3180 MAIN ST
Practice Address - Street 2:SUITE G-1
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-4237
Practice Address - Country:US
Practice Address - Phone:203-371-7111
Practice Address - Fax:303-372-5636
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2010-07-26
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Provider Licenses
StateLicense IDTaxonomies
CT04431208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT048345OtherSTATE LICENSE