Healthcare Provider Details

I. General information

NPI: 1467848358
Provider Name (Legal Business Name): ABDULLAH MANAGEMENT COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 GREENWOOD AVE
TRENTON NJ
08609-2107
US

IV. Provider business mailing address

10 DIAMOND CT
FRANKLIN PARK NJ
08823-1604
US

V. Phone/Fax

Practice location:
  • Phone: 732-986-3831
  • Fax: 732-297-0344
Mailing address:
  • Phone: 732-986-3831
  • Fax: 732-297-0344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT ABDULLAH
Title or Position: PRESIDENT
Credential:
Phone: 732-986-3831