Provider Demographics
NPI:1346052248
Name:ABIGAIL INTERNAL MEDICINE
Entity type:Organization
Organization Name:ABIGAIL INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-553-6114
Mailing Address - Street 1:412 SUBURBAN DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3564
Mailing Address - Country:US
Mailing Address - Phone:443-553-6114
Mailing Address - Fax:302-738-4749
Practice Address - Street 1:412 SUBURBAN DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3564
Practice Address - Country:US
Practice Address - Phone:443-553-6114
Practice Address - Fax:302-738-4749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty