Basic Information
Provider Information
NPI: 1356396485
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABRAMS
FirstName: LAWRENCE
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 PARKWAY CENTER
Address2: STE 375
City: PITTSBURGH
State: PA
PostalCode: 15220
CountryCode: US
TelephoneNumber: 4129375700
FaxNumber: 4129375739
Practice Location
Address1: 30 PROSPECT ST
Address2:  
City: HACKENSACK
State: NJ
PostalCode: 07601
CountryCode: US
TelephoneNumber: 2011996202
FaxNumber: 2013429324
Other Information
ProviderEnumerationDate: 05/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X25MA04577500NJY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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