Provider Demographics
NPI:1063430098
Name:ABRAMOWITZ, ANDREW JAY (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JAY
Last Name:ABRAMOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-4200
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:NEMOURS DUPONT PEDIATRICS, BRYN MAWR
Practice Address - Street 2:825 OLD LANCASTER RD., SUITE 250
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:610-542-3300
Practice Address - Fax:610-542-3320
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056901174400000X
DEC1-0013105207X00000X
PAMD467328207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD270050911OtherTAX ID #
MD11128OtherEHP PRODUCTS
MD386823OtherMAMSI, UNITED HEALTHCARE
MD0005004664OtherAETNA NON HMO PRODUCTS
MD808800400Medicaid
MD3122176OtherAETNA HMO PRODUCTS
493435OtherNCPPO
MDKEF6MA/G661-0001OtherBCBS PRODUCTS
MD670750000000OtherPHYSICIANS HEALTH NETWORK
MDG56141Medicare UPIN