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NPI Code Detail

MEDICARE: DR. ABRAHAM LO D.O.

MEDICARE: DR. ABRAHAM LO D.O.
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
1207R00000XInternal Medicine Physician25MB09921200NJ

General Provider Information

NPI Number : 1568703023
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABRAHAM LO D.O.
Provider Business Mailing Address
First Line : 7855 BOULEVARD E APT 17C
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-5931
Country : US
Telephone Number : 510-551-6732
Fax Number :
Provider Business Practice Location Address
First Line : 7600 RIVER RD
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-6217
Country : US
Telephone Number : 929-276-1833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2013
Last Update Date : 03/23/2026

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Directions to “ DR. ABRAHAM LO D.O.” Practice Location

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