Individual
DR. JACOB KURIAKOSE ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, DEPT OF ANESTHESIA, RIDGEWOOD, NJ 07450-2726
(201) 847-9320
Mailing address
PO BOX 630, FRANKLIN LAKES, NJ 07417-0630
(201) 847-9320
(201) 847-0059
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
270360
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03598083
—
NY
Enumeration date
06/24/2008
Last updated
07/22/2016
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