Healthcare Provider Details

I. General information

NPI: 1235200197
Provider Name (Legal Business Name): CONSULTANTS IN REHABILITATION MEDICINE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 06/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3830 PARK AVE SUITE 205
EDISON NJ
08820-2562
US

IV. Provider business mailing address

3830 PARK AVE SUITE 205
EDISON NJ
08820-2562
US

V. Phone/Fax

Practice location:
  • Phone: 908-226-1300
  • Fax: 908-226-1301
Mailing address:
  • Phone: 908-226-1300
  • Fax: 908-226-1301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License NumberMB051891
License Number StateNJ

VIII. Authorized Official

Name: DR. PAUL ISAAC ABEND
Title or Position: PRESIDENT
Credential: D.O.
Phone: 908-963-5782