Provider Demographics
NPI:1629055728
Name:LANDZBERG, ABBY B (MD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:B
Last Name:LANDZBERG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:77 ACCORD PARK DR
Mailing Address - Street 2:BLDG D4
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1623
Mailing Address - Country:US
Mailing Address - Phone:781-952-1526
Mailing Address - Fax:781-878-8627
Practice Address - Street 1:541 MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1868
Practice Address - Country:US
Practice Address - Phone:781-952-1280
Practice Address - Fax:781-952-1570
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2015-01-15
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Provider Licenses
StateLicense IDTaxonomies
MA74212207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0036423OtherNEIGHBORHOOD HEALTH PLAN
MA57132OtherFALLON COMM HEALTH PLAN
MA725215OtherTUFTS HEALTH PLAN
MA3095690Medicaid
MA60623OtherHARVARD PILGRIM
MAJ12567OtherBLUE CROSS BLUE SHIELD
MA725215OtherTUFTS HEALTH PLAN
MA57132OtherFALLON COMM HEALTH PLAN