Active NPI
Dr George Abraham PC
- Psychiatry Physician
- Paoli, PA
National Provider Identifier
1053418277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD072501L
- Legal business name
- DR GEORGE ABRAHAM PC
- Practice address
- 15 Industrial Blvd
Suite 203
Paoli, PA 19301-1608 - Phone
- (610) 240-0240
- Fax
- (610) 240-0335
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Abraham
- Title
- Director
- Phone
- (610) 240-0240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD072501L | PA | Primary |
Addresses
Primary practice location
15 Industrial Blvd
Suite 203
Paoli, PA 19301-1608
Mailing address
460 N Apple Tree LN
Lafayette Hill, PA 19444-2602
Phone (610) 240-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679552368 | Other | PA | NPI INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
15 Industrial Blvd
Ste 203
Paoli, PA 19301
Phone (610) 240-0240
15 Industrial Blvd
#203A
Paoli, PA 19301
Phone (610) 240-0240
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Allentown, PA
- NPI 1295726313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392076800000",
"number": "1053418277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 N APPLE TREE LN",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194442602",
"telephone_number": "610-240-0240",
"fax_number": "610-240-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 INDUSTRIAL BLVD",
"address_2": "SUITE 203",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011608",
"telephone_number": "610-240-0240",
"fax_number": "610-240-0335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR GEORGE ABRAHAM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2014-02-11",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "610-240-0240",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD072501L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1679552368",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.