Individual provider · NPI-1

Jonathan Simon Abelson

Colon & Rectal Surgery · New York, NY

NPI number1932465077

StatusActive

Last updated in NPPESSep 9, 2020

Details

NPI: 1932465077
Entity type: Individual (NPI-1)
Name: Jonathan Simon Abelson
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 3, 2012
Certification date: Sep 9, 2020
Last updated: Sep 9, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208C00000X	Colon & Rectal Surgery	ETL-6057	MA	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

525 E 68th St
New York, NY 10065-4870

Phone 212-746-5380

Mailing address

41 Mall Road Lahey Hospital And Medical Center
Burlington, MA 01805-0001

Phone 781-744-8000

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