Provider Demographics
NPI:1023316650
Name:OJURE, ABRAM (LICAC, DIPL OM)
Entity type:Individual
Prefix:
First Name:ABRAM
Middle Name:
Last Name:OJURE
Suffix:
Gender:M
Credentials:LICAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 UNION ST
Mailing Address - Street 2:2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1332
Mailing Address - Country:US
Mailing Address - Phone:503-504-9200
Mailing Address - Fax:
Practice Address - Street 1:18 UNION ST
Practice Address - Street 2:2
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1332
Practice Address - Country:US
Practice Address - Phone:503-504-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA247302171100000X
NH186171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA247302OtherMA STATE LICENSE
NH186OtherNH STATE LICENSE