Henry David Abraham, M.D.
Individual provider Active NPI Specialist · Lexington, MA
NPI 1811001076 · NPPES record last updated Dec 9, 2009
Key facts
- NPI
- 1811001076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MA34792 (MA)
- Practice address
- 10 Muzzey St
Lexington, MA 02421-5222 - Phone
- (617) 955-9710
- Fax
- (781) 538-0568
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA34792 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith P. Asarkof & Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA34792 | MA | Yes |
Addresses
Primary practice location
10 Muzzey St
Lexington, MA 02421-5222
Mailing address
10 Muzzey St
Lexington, MA 02421-5222
Phone (617) 955-9710
Other providers in Lexington, MA
- 178 Lowell Street Operating Company, LLC
- Nicole Renee Abair
- Anna Abdurakhmanova
- Sadie Abrams
- Walter Abrams
- Jennifer Abramson
- Steven P Abreu
- Dominic Acosta
All providers in Lexington, MA · Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.