ANTONIOUS JONAH ABRAHAM PA-C NPI 1003434275

NPI Information

NPI: 1003434275
Provider Name: ANTONIOUS JONAH ABRAHAM, PA-C
Classification:
Entity Type: Individual

PECOS Registration: Yes

Address:
99 CORN RD
BOLTON, MA
ZIP 01740
Phone: (978) 325-1322
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Antonious Jonah Abraham, PA-C is a healthcare provider in Bolton, MA. Antonious Jonah Abraham, PA-C NPI is 1003434275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

99 CORN RD
BOLTON, MA
ZIP 01740-055
Phone: (978) 325-1322

The NPI 1003434275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2020 and was last updated on 10/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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