Basic Information
Provider Information
NPI: 1518171644
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABROMOWITZ
FirstName: HERMAN
MiddleName: IRWIN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 3033 KETTERING BLVD STE 100
Address2: VISITING PHYSICIANS ASSOCIATION
City: DAYTON
State: OH
PostalCode: 45439
CountryCode: US
TelephoneNumber: 9372932133
FaxNumber: 9372932161
Practice Location
Address1: 3033 KETTERING BLVD STE 100
Address2: VISITING PHYSICIANS ASSOCIATION
City: DAYTON
State: OH
PostalCode: 45439
CountryCode: US
TelephoneNumber: 9372932133
FaxNumber: 9372932161
Other Information
ProviderEnumerationDate: 05/09/2007
LastUpdateDate: 05/20/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QH0002X35 022740OHN Allopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
2083X0100X35 022740OHN Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
207Q00000X35.022740OHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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