Provider Demographics
NPI:1336555424
Name:FRIEND, ABIGAIL ADAMS (LIC AC)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:ADAMS
Last Name:FRIEND
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 PARK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-2134
Mailing Address - Country:US
Mailing Address - Phone:617-699-1895
Mailing Address - Fax:
Practice Address - Street 1:25 SCHOOL ST STE B2
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-6665
Practice Address - Country:US
Practice Address - Phone:617-699-1895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261147171100000X
MA390200000X
MA261147171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty