Provider Demographics
NPI:1356343305
Name:ABRAMS, MARTY (MA, DC)
Entity type:Individual
Prefix:DR
First Name:MARTY
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MA, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-1852
Mailing Address - Country:US
Mailing Address - Phone:781-784-5481
Mailing Address - Fax:781-784-6756
Practice Address - Street 1:355 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1852
Practice Address - Country:US
Practice Address - Phone:781-784-5481
Practice Address - Fax:781-784-6756
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35544Medicare ID - Type UnspecifiedPROVIDER #
MAT58239Medicare UPIN