MEDICARE: ABANOUB NAIM GUERGES DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor	38MC00811800	NJ
2	111N00000X	Chiropractor	38MC00811800	NJ
3	111NR0400X	Rehabilitation Chiropractor	38MC00811800	NJ

General Provider Information

NPI Number	:	1912712704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABANOUB NAIM GUERGES DC

Provider Business Mailing Address
First Line	:	3443 ROUTE 9 N
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-9153
Country	:	US
Telephone Number	:	732-836-8065
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 ROUTE 9 N
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-9153
Country	:	US
Telephone Number	:	732-836-8065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	04/16/2025

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Directions to “ ABANOUB NAIM GUERGES DC” Practice Location

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