Provider Demographics
NPI:1245243922
Name:ABRAMOWITZ, NICOLE T (MD)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:T
Last Name:ABRAMOWITZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 KINGS HWY NORTH
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2400
Mailing Address - Country:US
Mailing Address - Phone:203-227-3674
Mailing Address - Fax:203-454-5639
Practice Address - Street 1:156 KINGS HWY NORTH
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-2400
Practice Address - Country:US
Practice Address - Phone:203-227-3674
Practice Address - Fax:203-454-5639
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT04431208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT048345OtherSTATE LICENSE