Provider Demographics
NPI:1720050099
Name:ABELE, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:ABELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3270
Mailing Address - Fax:978-313-8205
Practice Address - Street 1:1 PARKWAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830
Practice Address - Country:US
Practice Address - Phone:978-521-3270
Practice Address - Fax:978-313-8205
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA215987207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1305557Medicaid
974122OtherNETWORK HEALTH
042881348OtherBEECH STREET
042881348OtherCHOICECARE
042881348OtherONE HEALTH
3371608OtherAETNA
AA4015OtherHARVARD PILGRIM HEALTHCAR
042881348OtherUNITED HEALTH CARE
8140966OtherCIGNA
J25879OtherBLUE CROSS BLUE SHIELD
464829OtherTUFTS
57876OtherFALLON
0028721OtherNEIGHBORHOOD HEALTH PLAN
042881348OtherBEECH STREET
MAA35016Medicare ID - Type Unspecified