Individual
DR. EVAN J ABRAHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701
(732) 364-2144
(732) 534-8064
Mailing address
1771 MADISON AVE, LAKEWOOD, NJ 08701
(732) 364-2144
(732) 534-8064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054044-1
NY
122300000X
Dentist
Primary
22DI02351200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219924
—
NJ
Enumeration date
10/29/2008
Last updated
05/23/2013
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