Basic Information
Provider Information
NPI: 1033156856
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABRAS
FirstName: ELIAS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 42934
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191012934
CountryCode: US
TelephoneNumber: 8003550808
FaxNumber: 6108342862
Practice Location
Address1: 6701 N CHARLES ST
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212046808
CountryCode: US
TelephoneNumber: 4438492225
FaxNumber: 4438493094
Other Information
ProviderEnumerationDate: 06/01/2006
LastUpdateDate: 01/10/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XD24206MDY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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