Healthcare Provider Details

I. General information

NPI: 1649591488
Provider Name (Legal Business Name): ABRAHAM KALMAN SCHREIBER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 MAIN ST SUITE A
SPOTSWOOD NJ
08884-1794
US

IV. Provider business mailing address

282D CEDAR BRIDGE AVENUE
LAKEWOOD NJ
08701-4265
US

V. Phone/Fax

Practice location:
  • Phone: 732-251-6640
  • Fax:
Mailing address:
  • Phone: 732-987-5122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: