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Contact Information

ELONZO S ABRAHAM JR, M.ED, CACI
99 TOPEKA ST
BOSTON, MA02118-2717
 Phone: 617-442-1499
 Fax: 617-442-1660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ELONZO S ABRAHAM JR · (Male)

NPI # 1609189760
Status Active
Credentials M.ED, CACI
Entity Individual
Enumeration date 07/19/2010
Last updated 07/19/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 0902231
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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