Provider Demographics
NPI:1326045022
Name:ABRAMSON, RONALD D (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:D
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:25 MAIN ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-5036
Mailing Address - Country:US
Mailing Address - Phone:508-655-9127
Mailing Address - Fax:508-655-1270
Practice Address - Street 1:25 MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-5036
Practice Address - Country:US
Practice Address - Phone:508-655-9127
Practice Address - Fax:508-655-1270
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA307452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0108073Medicaid
MAEO3262Medicare UPIN
MA0108073Medicaid