Provider Demographics
NPI:1417310624
Name:JAMES H. ABRAMS, M.D., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JAMES H. ABRAMS, M.D., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-867-5061
Mailing Address - Street 1:423 HURLINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-1158
Mailing Address - Country:US
Mailing Address - Phone:650-867-5061
Mailing Address - Fax:650-348-4008
Practice Address - Street 1:1250 BAYHILL DR
Practice Address - Street 2:SUITE 305
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3059
Practice Address - Country:US
Practice Address - Phone:650-866-3097
Practice Address - Fax:650-866-3212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty