Basic Information
| Provider Information | |||||||||
| NPI: | 1831309004 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE DOCTOR'S ABARY MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 445 WHITE HORSE AVE | ||||||||
| Address2: | SUITE 20 | ||||||||
| City: | TRENTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086101408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095851213 | ||||||||
| FaxNumber: | 6095850309 | ||||||||
| Practice Location | |||||||||
| Address1: | 445 WHITE HORSE AVE | ||||||||
| Address2: | SUITE 20 | ||||||||
| City: | TRENTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086101408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095851213 | ||||||||
| FaxNumber: | 6095850309 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2007 | ||||||||
| LastUpdateDate: | 09/21/2007 | ||||||||
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| AuthorizedOfficialLastName: | ABARY | ||||||||
| AuthorizedOfficialFirstName: | ANTONIO | ||||||||
| AuthorizedOfficialMiddleName: | V | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 6095851213 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MA31160 | NJ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.