Individual
MENA ABRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
245 US HIGHWAY 22 FL 3, BRIDGEWATER PLAZA II -, BRIDGEWATER, NJ 08807-2560
(908) 722-1042
(908) 722-2040
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MB09906000
NJ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
25MB09906000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB09906000
LICENSE #
NJ
Enumeration date
06/04/2011
Last updated
07/18/2025
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