Healthcare Provider Details

I. General information

NPI: 1699214759
Provider Name (Legal Business Name): EMILY ABRA EYERKUSS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ABRA KRAUSS DO

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 MAPLE AVE
RED BANK NJ
07701-1745
US

IV. Provider business mailing address

231 MAPLE AVE
RED BANK NJ
07701-1745
US

V. Phone/Fax

Practice location:
  • Phone: 732-945-8600
  • Fax: 732-945-8700
Mailing address:
  • Phone: 732-945-8600
  • Fax: 732-945-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MB10371800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: