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DR. MARK JAMES ABRAHAM OD

Eye and Vision Services Providers Optometrist

Provider NPI: 1508829656

Provider Information:
DR. MARK JAMES ABRAHAM OD
Gender: M
Not Sole Proprietor

Practice Location:
8112 ARLINGTON BLVD  FALLS CHURCH, VA 22042-1002 US
Tel: 703-876-5766  Fax: 703-876-4936

Business Mailing Address:
200 MALL BLVD  KING OF PRUSSIA, PA 19406-2902 US
Tel: 610-491-2125  Fax: 610-337-2133

NPI Information:
NPI: 1508829656
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
PAOEG001858

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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