Individual
EDEN RABBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ROCKWOOD PL STE 110, ENGLEWOOD, NJ 07631-4959
(609) 464-0526
Mailing address
25 ROCKWOOD PL STE 110, ENGLEWOOD, NJ 07631-4959
(201) 894-5805
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15012200
NJ
363LG0600X
Gerontology Nurse Practitioner
311022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0988006
—
NJ
Enumeration date
12/28/2023
Last updated
05/30/2024
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