Provider Demographics
NPI:1700854577
Name:CHERRICK, ABRAHAM ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:ALAN
Last Name:CHERRICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, STE. 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:703-738-4332
Mailing Address - Fax:703-642-1876
Practice Address - Street 1:6355 WALKER LN STE 507
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3251
Practice Address - Country:US
Practice Address - Phone:703-738-4332
Practice Address - Fax:703-642-3487
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101035230208100000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB94918Medicare UPIN
VA431829C25Medicare ID - Type Unspecified
VA6895379Medicaid