Basic Information
| Provider Information | |||||||||
| NPI: | 1417310624 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMES H. ABRAMS, M.D., A PROFESSIONAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 423 HURLINGHAM AVE | ||||||||
| Address2: | |||||||||
| City: | SAN MATEO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 944021158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6508675061 | ||||||||
| FaxNumber: | 6503484008 | ||||||||
| Practice Location | |||||||||
| Address1: | 1250 BAYHILL DR | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | SAN BRUNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940663059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6508663097 | ||||||||
| FaxNumber: | 6508663212 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2016 | ||||||||
| LastUpdateDate: | 04/12/2017 | ||||||||
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| AuthorizedOfficialLastName: | ABRAMS | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | HOWARD | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6508675061 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.