MEDICARE: DR. MARK ABEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	25MA02798000	NJ
2	207Q00000X	Family Medicine Physician	25MA02798000	NJ

General Provider Information

NPI Number	:	1023082534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ABEL M.D.

Provider Business Mailing Address
First Line	:	465B LAUREL BROOK DR
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-2804
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	465B LAUREL BROOK DR
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-2804
Country	:	US
Telephone Number	:	732-458-4075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	04/25/2012

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Directions to “ DR. MARK ABEL M.D.” Practice Location

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