Provider Demographics
NPI:1407604028
Name:MUISE, ABIGALE (MD)
Entity type:Individual
Prefix:
First Name:ABIGALE
Middle Name:
Last Name:MUISE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:MA
Mailing Address - Zip Code:01834-1410
Mailing Address - Country:US
Mailing Address - Phone:978-476-1821
Mailing Address - Fax:
Practice Address - Street 1:80 MAIN ST
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:MA
Practice Address - Zip Code:01834-1410
Practice Address - Country:US
Practice Address - Phone:978-476-1821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program