Organization
ST MICHAEL'S MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ABO D.O. (AOA INTERNAL MEDICINE RESIDENCY DIR)
(201) 892-9839
Entity
Organization
Contact information
Practice address
110 NEWARK AVE APT F6, BELLEVILLE, NJ 07109-4129
(503) 515-3167
Mailing address
110 NEWARK AVE APT F6, BELLEVILLE, NJ 07109-4129
(503) 515-3167
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P13-00379
RESIDENCY TRAINING PERMIT
NJ
Enumeration date
12/29/2014
Last updated
12/29/2014
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