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Organization
THANAA NELLY KHALIL ABRAHAM PC
Active
Organization
THANAA NELLY KHALIL ABRAHAM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANAA NELLY K ABRAHAM MD (OWNER)
(732) 818-0808
Entity
Organization
Contact information
Practice address
882 H COMMONS WAY, TOMS RIVER, NJ 08755-6430
(732) 818-0808
Mailing address
882 H COMMONS WAY, TOMS RIVER, NJ 08755-6430
(732) 818-0808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07219300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8678201
—
NJ
Enumeration date
06/06/2006
Last updated
05/18/2011
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