Provider Demographics
NPI:1316642309
Name:ABROAMPA, RUBY E
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:E
Last Name:ABROAMPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 SCARBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-5430
Mailing Address - Country:US
Mailing Address - Phone:860-502-2182
Mailing Address - Fax:
Practice Address - Street 1:120 MAPLE ST STE 304
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-2216
Practice Address - Country:US
Practice Address - Phone:413-737-2437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical