Individual provider · NPI-1

Benjamin Paolo M Abratigue, D.O.

Family Medicine · Indianapolis, IN

NPI number1760745582
StatusActive
Last updated in NPPESJun 4, 2021

Details

NPI
1760745582
Entity type
Individual (NPI-1)
Name
Benjamin Paolo M Abratigue
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 18, 2012
Certification date
Jun 4, 2021
Last updated
Jun 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine02004522AINYes
207Q00000X Family Medicine11016709AIN

Practice location

1402 E County Line Rd
Indianapolis, IN 46227

Phone 317-887-7000

Mailing address

6626 E 75th St
Suite 500
Indianapolis, IN 46250-2805

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