Doctor Name: | DR. MARC NEAL ABO |
NPI Number: | 1003877267 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA03612300 |
Business Practice Address: | 100 Coventry Dr Phillipsburg, NJ - 088651900 |
Business Phone Number: | 9088590034 |
Business Fax Number: | 9088593918 |
Mailing Address: | 10 Brass Castle Rd, WASHINGTON |
State: | NJ |
Postal Code: | 078826309 |
Phone Number: | 9088351910 |
Fax Number: | 9088351924 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 02/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA03612300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |