Provider Demographics
NPI:1730181595
Name:ABRAMOWITZ, ALAN I (DO)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:I
Last Name:ABRAMOWITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 SWAMP ROAD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:FOUNTAINVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18923
Mailing Address - Country:US
Mailing Address - Phone:215-230-8380
Mailing Address - Fax:215-230-8370
Practice Address - Street 1:5039 SWAMP ROAD
Practice Address - Street 2:SUITE 401
Practice Address - City:FOUNTAINVILLE
Practice Address - State:PA
Practice Address - Zip Code:18923
Practice Address - Country:US
Practice Address - Phone:215-230-8380
Practice Address - Fax:215-230-8370
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007222L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA051384PPLMedicare PIN
PA051384Medicare ID - Type Unspecified
PAF54071Medicare UPIN