Individual
ABRAHAM AVIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
25MA03529000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0922307
—
NJ
Enumeration date
02/09/2007
Last updated
07/08/2007
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