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Individual

DR. NAEL A ABUTABIKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
94 OLD SHORT HILLS ROAD, LIVINGSTON, NJ 07039-5606
(201) 322-5000
Mailing address
66 W GILBERT ST, 2ND FLOOR, RED BANK, NJ 07701-4918
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07945900
NJ
208D00000X
General Practice Physician
25MA07945900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0079049
NJ
01
P00416427
RAILROAD MEDICARE
NJ
Enumeration date
10/31/2005
Last updated
01/31/2008
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