Provider Demographics
NPI:1730264110
Name:ABRAMSON, MARC E (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:E
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7098
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-7098
Mailing Address - Country:US
Mailing Address - Phone:340-778-3611
Mailing Address - Fax:
Practice Address - Street 1:4007 ESTATE DIAMOND RUBY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4435
Practice Address - Country:US
Practice Address - Phone:340-778-6311
Practice Address - Fax:888-686-4557
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY38824207L00000X
VI2208207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000355011OtherIND BCBS
KY64114226Medicaid
KY64114226Medicaid