Provider Demographics
NPI:1427101070
Name:ABRONS FAMILY PRACTICE AND URGENT CARE, P.A.
Entity type:Organization
Organization Name:ABRONS FAMILY PRACTICE AND URGENT CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF P.A.
Authorized Official - Prefix:DR
Authorized Official - First Name:SEYMORE
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:ABRONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-790-7840
Mailing Address - Street 1:1911 S 17TH ST
Mailing Address - Street 2:SUITE 130-A
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6662
Mailing Address - Country:US
Mailing Address - Phone:910-790-7840
Mailing Address - Fax:910-790-7828
Practice Address - Street 1:1911 S 17TH ST
Practice Address - Street 2:SUITE 130-A
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6662
Practice Address - Country:US
Practice Address - Phone:910-790-7840
Practice Address - Fax:910-790-7828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9701679207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89136XPMedicaid
NC2340838Medicare ID - Type Unspecified
NC89136XPMedicaid