Provider Demographics
NPI:1235938242
Name:ABX MANAGEMENT, INC.
Entity type:Organization
Organization Name:ABX MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:
Authorized Official - First Name:IMOIGELE
Authorized Official - Middle Name:
Authorized Official - Last Name:AISIKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-909-3065
Mailing Address - Street 1:10394 W CHATFIELD AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4299
Mailing Address - Country:US
Mailing Address - Phone:714-612-8604
Mailing Address - Fax:
Practice Address - Street 1:300 WASHINGTON ST STE 507
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1655
Practice Address - Country:US
Practice Address - Phone:714-612-8604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical CareGroup - Multi-Specialty