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NPI Code Detail

MEDICARE: SAMANTHA ABEND DO

MEDICARE: SAMANTHA ABEND DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician25MB11094500NJ

General Provider Information

NPI Number : 1104322528
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ABEND DO
Provider Business Mailing Address
First Line : 26 ADAMS DR
Second Line :
City : DENVILLE
State : NJ
Zip : 07834-2402
Country : US
Telephone Number : 973-219-2419
Fax Number :
Provider Business Practice Location Address
First Line : 21 LAFAYETTE RD
Second Line :
City : SPARTA
State : NJ
Zip : 07871-3575
Country : US
Telephone Number : 973-971-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2018
Last Update Date : 07/01/2021

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Directions to “ SAMANTHA ABEND DO” Practice Location

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