Mark Barry Abelson, M.D.
Individual provider Active NPI Ophthalmology Physician · Andover, MA
NPI 1811990682 · NPPES record last updated Nov 14, 2007
Key facts
- NPI
- 1811990682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 37429 (MA)
- Practice address
- 138 Haverhill St
Ste 104
Andover, MA 01810-1501 - Phone
- (978) 475-0705
- Fax
- (978) 475-0008
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 37429 | MA | MD | Ophthalmology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 37429 | MA | Yes |
Addresses
Primary practice location
138 Haverhill St
Ste 104
Andover, MA 01810-1501
Mailing address
138 Haverhill St
Ste 104
Andover, MA 01810-1501
Phone (978) 475-0705
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2035618 | Medicaid | MA | |
| M08808 | Other | MA | BLUECROSS/BLUESHIELD |
| 26176 | Other | MA | FALLON |
| 15823 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 037429 | Other | MA | TUFTS |
Other providers in Andover, MA
- 89 Morton Street Operations LLC
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- Ab Dental Solutions
- Abc Care Provider LLC- Andover Ma
- Colleen Abdulla-McGrath
- John Michael Abrams
- Academy Nursing Home Inc
- Access Home Health Solutions LLC
- Acelleron Medical Products, Inc.
- Adam P Beck MD PC
All providers in Andover, MA · Ophthalmology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2007. 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.