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NPI 1083620124

NPI 1083620124 : RUBY ABRAHAM MD : CRANFORD, NJ

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General NPI Number Information
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    NPI Number           |    1083620124
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    Entity Type          |    Individual 
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    Provider Name        |    RUBY ABRAHAM MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/31/2006
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    Last Update Date     |    06/03/2025
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Provider Practice Location Address
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    Address Line         |    216 NORTH AVENUE EAST CENTRAL JERSEY BEHAVIORAL HEALTH
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    City                 |    CRANFORD
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    State                |    NJ
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    Zip                  |    07016
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    Country              |    US
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    Telephone            |    908-272-7500
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    Fax                  |    908-272-7502
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Provider Business Mailing Address
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    Address Line         |    216 NORTH AVENUE EAST CENTRAL JERSEY BEHAVIORAL HEALTH
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    City                 |    CRANFORD
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    State                |    NJ
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    Zip                  |    07016
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    Country              |    US
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    Telephone            |    908-272-7500
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    Fax                  |    908-272-7502
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    C1-0025508
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    25MA07242900
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    License Number State |    NJ
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