Provider Demographics
NPI:1518551407
Name:RAYMOND, ABIGAIL ELEANOR
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ELEANOR
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 LOUNSBURY DR
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-5200
Mailing Address - Country:US
Mailing Address - Phone:774-226-0532
Mailing Address - Fax:
Practice Address - Street 1:125 LOUNSBURY DR
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5200
Practice Address - Country:US
Practice Address - Phone:774-226-0532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program