Provider Demographics
NPI:1619183506
Name:ABRAMSOHN, MICHAEL SAMUEL (PT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:SAMUEL
Last Name:ABRAMSOHN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SADDLE RDG
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1919
Mailing Address - Country:US
Mailing Address - Phone:732-431-3599
Mailing Address - Fax:
Practice Address - Street 1:5 SADDLE RDG
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1919
Practice Address - Country:US
Practice Address - Phone:732-431-3599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00204900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ40QA00204900OtherNJ P.T. LICENSE NUMBER