Provider Demographics
NPI:1548370216
Name:ABRAMSON & KNEUSSL PA
Entity type:Organization
Organization Name:ABRAMSON & KNEUSSL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:KNEUSSL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-256-2930
Mailing Address - Street 1:4136 EAST JOPPA ROAD
Mailing Address - Street 2:SUITE F
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236
Mailing Address - Country:US
Mailing Address - Phone:410-256-2930
Mailing Address - Fax:410-256-6020
Practice Address - Street 1:4136 EAST JOPPA ROAD
Practice Address - Street 2:SUITE F
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:410-256-2930
Practice Address - Fax:410-256-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty