Individual
LEELAMMA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 S FRANKLIN TPKE, PREVENTIVE&DIAGNOSTIC MEDICAL SUITE 201, RAMSEY, NJ 07446-2550
(201) 818-6800
Mailing address
377 WILLARD RD, PARAMUS, NJ 07652-4628
(201) 262-1249
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00248200
NJ
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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