Individual
DR. ABIGAIL L. LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 VERONICA AVE, SUITE 204, SOMERSET, NJ 08873-5002
(732) 828-0002
(732) 828-0153
Mailing address
75 VERONICA AVE, SUITE 204, SOMERSET, NJ 08873-5002
(732) 828-0002
(732) 828-0153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09450300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09450300
NJ LICENSE
NJ
Enumeration date
02/11/2011
Last updated
06/30/2014
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