Provider Demographics
NPI:1942492376
Name:BURT S. ABRAMSON DDS PA
Entity Type:Organization
Organization Name:BURT S. ABRAMSON DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BURT
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABRAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-722-0850
Mailing Address - Street 1:348 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3110
Mailing Address - Country:US
Mailing Address - Phone:908-722-0850
Mailing Address - Fax:908-725-0397
Practice Address - Street 1:348 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-3110
Practice Address - Country:US
Practice Address - Phone:908-722-0850
Practice Address - Fax:908-725-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty