Individual
DR. ABU S ALAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
779 SPRINGFIELD AVE, SUMMIT, NJ 07901-2332
(908) 273-5907
(908) 277-2421
Mailing address
779 SPRINGFIELD AVE, SUMMIT, NJ 07901-2332
(908) 273-5907
(908) 277-2421
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA03924300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040292
AETNA HMO
NJ
01
—
0098910000
AMERIHEALTH
NJ
01
—
4220706
AETNA TRADITIONAL
NJ
01
—
OK5705
HEALTHNET
NJ
Enumeration date
05/10/2006
Last updated
07/09/2007
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