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1275911307
SUJA ABRAHAM
PHILADELPHIA, PA
NPI
1275911307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: PA SP014952)
Enumeration Date
2015-05-08
Last Update Date
2015-05-08
Business Address
-- SUJA ABRAHAM CRNP
7101 OLD YORK RD
PHILADELPHIA, PA 19126-2114
Phone number: 215-424-4090
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Mailing Address
-- SUJA ABRAHAM CRNP
1922 GREENSPRING DR SUITE 6
TIMONIUM, MD 21093-7603
Phone number: 410-308-2300
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