Provider Demographics
NPI:1275625477
Name:ABRAMSON & KNEUSSL PA
Entity Type:Organization
Organization Name:ABRAMSON & KNEUSSL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:B
Authorized Official - Last Name:ABRAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-768-4422
Mailing Address - Street 1:325 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 206 207
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:410-768-4422
Mailing Address - Fax:410-766-4869
Practice Address - Street 1:325 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 206 207
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-768-4422
Practice Address - Fax:410-766-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty