Provider Demographics
NPI:1942205307
Name:ABRONS, SEYMORE ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:SEYMORE
Middle Name:ALBERT
Last Name:ABRONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1911 S 17TH ST
Mailing Address - Street 2:SUITE 130A
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6662
Mailing Address - Country:US
Mailing Address - Phone:910-790-7840
Mailing Address - Fax:910-790-7828
Practice Address - Street 1:1911 S 17TH ST
Practice Address - Street 2:STE 130-A
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6662
Practice Address - Country:US
Practice Address - Phone:910-790-7840
Practice Address - Fax:910-790-7828
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9701679207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89136XPMedicaid
NC2025999AMedicare ID - Type Unspecified
NC89136XPMedicaid