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NPI Code Detail

MEDICARE: ERIC S ABERBACH M.D.

MEDICARE: ERIC S ABERBACH 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
1207L00000XAnesthesiology Physician25MA06211800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679574982
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC S ABERBACH M.D.
Provider Business Mailing Address
First Line : PO BOX 34704
Second Line :
City : NEWARK
State : NJ
Zip : 07189-0001
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 97 W PARKWAY
Second Line :
City : POMPTON PLAINS
State : NJ
Zip : 07444-1647
Country : US
Telephone Number : 973-831-5093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 06/07/2011

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