Basic Information
| Provider Information | |||||||||
| NPI: | 1063430098 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ABRAMOWITZ | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | JAY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 191 | ||||||||
| Address2: | |||||||||
| City: | ROCKLAND | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197320191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026514200 | ||||||||
| FaxNumber: | 3026514945 | ||||||||
| Practice Location | |||||||||
| Address1: | NEMOURS DUPONT PEDIATRICS, BRYN MAWR | ||||||||
| Address2: | 825 OLD LANCASTER RD., SUITE 250 | ||||||||
| City: | BRYN MAWR | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105423300 | ||||||||
| FaxNumber: | 6105423320 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 07/24/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | D0056901 | MD | N | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist | 207X00000X | C1-0013105 | DE | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | MD467328 | PA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 270050911 | 01 | MD | TAX ID # | OTHER | 11128 | 01 | MD | EHP PRODUCTS | OTHER | 386823 | 01 | MD | MAMSI, UNITED HEALTHCARE | OTHER | 0005004664 | 01 | MD | AETNA NON HMO PRODUCTS | OTHER | 808800400 | 05 | MD | MEDICAID | 3122176 | 01 | MD | AETNA HMO PRODUCTS | OTHER | 493435 | 01 | NCPPO | OTHER | KEF6MA/G661-0001 | 01 | MD | BCBS PRODUCTS | OTHER | 670750000000 | 01 | MD | PHYSICIANS HEALTH NETWORK | OTHER |