Matthew Mack Abraham M.D.

NPI 1174511794 - Legal Medicine - 173000000X

NPI Details
NPI 1174511794
Gender Male
Enumeration Date 10/07/2005
Last Updated 05/28/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
100 ASMA BLVD
SUITE 205
LAFAYETTE LA, 70508-3858, US
Phone (337) 289-5605
Fax (337) 289-5609
Business Location
100 ASMA BLVD
SUITE 205
LAFAYETTE LA, 70508-3858, US
Phone (337) 289-5605
Fax (337) 289-5609
Toxanomy
Taxonomy Code 173000000X
License State Louisiana
License Number 024082
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According to our database, Dr. Matthew Mack Abraham M.D. NPI is 1174511794, taxonomy code is 173000000X and license number is 024082, license state is located at Louisiana. Matthew Mack Abraham M.D. physically located at 100 Asma Blvd, Lafayette LA, 70508-3858. NPI Number Matthew Mack Abraham M.D. has the Individual type.

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1174511794 NPI number is provided on an as is basis without warranty of any kind. 1174511794 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Mack Abraham M.D. are for informational purposes only.