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DR. MARAT I ABDULLIN M.D.

Physicians Internal Medicine

Provider NPI: 1619159712

Provider Information:
DR. MARAT I ABDULLIN M.D.
Gender: M
Not Sole Proprietor

Practice Location:
2150 MAIN ST  SPRINGFIELD, MA 01104-3566 US
Tel: 413-733-0010  Fax: 413-930-2108

Business Mailing Address:
PO BOX 366  LUDLOW, MA 01056-0366 US
Tel: (41-3) -733-0010  Fax: 413-930-2108

NPI Information:
NPI: 1619159712
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XPhysicians
Internal Medicine
MA235121
Y207RN0300XPhysicians
Internal Medicine
MA235121
N208M00000XPhysicians
Hospitalist
MA235121

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE00064061MA01
110079891AMA05



American Medical Association 2012 taxonomy code information

Code: 207RN0300X

Type:

Classification:



Definition:



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