Mr. Elonzo S Abraham Jr., MED, CACI
Counselor, Addiction (Substance Use Disorder) in Boston, Massachusetts
1609189760- Practice location
- 99 Topeka St, Boston, MA 02118-2717
- Phone
- 617-442-1499
- Fax
- 617-442-1660
- Last updated
- July 19, 2010
Elonzo Stafon Abraham is a Counselor, Addiction (Substance Use Disorder) based in Boston, MA. Elonzo Stafon Abraham practices in Boston, MA and has the professional credentials of MED, CACI. The NPI Number for Elonzo Stafon Abraham is 1609189760 and holds a License No. 0902231 (SC). The current practice location address for Elonzo Stafon Abraham is 99 Topeka St, Boston, MA 02118-2717 and can be reached out via phone at 617-442-1499 and via fax at 617-442-1660.
Provider Profile Details
- NPI Number
- 1609189760
- Provider Name
- Elonzo Stafon Abraham
- Credential
- MED, CACI
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 99 Topeka St, Boston, MA 02118-2717
- Phone Number
- 617-442-1499
- Fax Number
- 617-442-1660
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2010
- Last Update Date
- July 19, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Topeka St
Boston, MA 02118-2717 - City
- Boston
- State
- Massachusetts
- Zip
- 02118-2717
- Phone Number
- 617-442-1499
- Fax Number
- 617-442-1660
Provider Business Mailing Address Details
- Address
- 99 Topeka St
Boston, MA 02118-2717 - City
- Boston
- State
- MA
- Zip
- 02118-2717
- Phone Number
- 617-442-1499
- Fax Number
- 617-442-1660
License Information
- License Number
- 0902231
- License State
- SC
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Elonzo S Abraham Jr., MED, CACI?
The NPI number of Mr. Elonzo S Abraham Jr., MED, CACI is 1609189760. It was assigned on July 19, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Elonzo S Abraham Jr., MED, CACI?
Mr. Elonzo S Abraham Jr., MED, CACI is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in SC under license number 0902231.
Where does Mr. Elonzo S Abraham Jr., MED, CACI practice?
The practice location is 99 Topeka St, Boston, MA 02118-2717. The office can be reached at 617-442-1499 (phone) or 617-442-1660 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609189760 directly on the NPPES registry website.