Provider Demographics
NPI:1083620124
Name:ABRAHAM, RUBY (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBY
Middle Name:
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 NORTH AVENUE EAST
Mailing Address - Street 2:CENTRAL JERSEY BEHAVIORAL HEALTH
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016
Mailing Address - Country:US
Mailing Address - Phone:908-272-7500
Mailing Address - Fax:908-272-7502
Practice Address - Street 1:216 NORTH AVENUE EAST
Practice Address - Street 2:CENTRAL JERSEY BEHAVIORAL HEALTH
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016
Practice Address - Country:US
Practice Address - Phone:908-272-7500
Practice Address - Fax:908-272-7502
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA072429002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry