Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA09669600 | NJ |
NPI | 1083857213 |
---|---|
Provider Name | Dr. Alice Abraham |
First Address | Englewood, NJ 07631-2507 |
Second Address | Englewood, NJ 07631-2507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2009 |
Last Update Date | 10/03/2016 |