Individual
DAVID ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 AVENUE C, BAYONNE, NJ 07002-2803
(201) 339-1119
(201) 339-1149
Mailing address
690 AVENUE C, BAYONNE, NJ 07002-2803
(201) 339-1119
(201) 339-1149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
196143
NJ
207Q00000X
Family Medicine Physician
Primary
25MB09783000
NJ
Other
Enumeration date
10/16/2013
Last updated
09/05/2019
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