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Individual

ANITHA ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(973) 276-3026
Mailing address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(973) 276-3026

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00731600
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00731600
NJ

Other

Enumeration date
10/11/2017
Last updated
07/21/2022
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