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INGRID MELAINIE ABRAHAMSON PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1780940080

Individual Registrant:
 INGRID MELAINIE ABRAHAMSON PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
71 HAYNES STREET  MANCHESTER, CT 06040 US
Tel: 860-646-1222  Fax: 860-647-6412

Contact information for business:
71 HAYNES STREET  MANCHESTER, CT 06040 US
Tel: 860-646-1222  Fax: --

Registration Information:
NPI: 1780940080
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
CT002742

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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