Provider Demographics
NPI:1124576236
Name:LIMON, ABDUL
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:
Last Name:LIMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ABDUL
Other - Middle Name:
Other - Last Name:LIMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:56 HOLSMAN ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07522-1742
Mailing Address - Country:US
Mailing Address - Phone:973-519-5493
Mailing Address - Fax:973-521-8329
Practice Address - Street 1:268 N 8TH ST
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:NJ
Practice Address - Zip Code:07508-2039
Practice Address - Country:US
Practice Address - Phone:973-519-5493
Practice Address - Fax:973-521-8329
Is Sole Proprietor?:No
Enumeration Date:2016-09-17
Last Update Date:2016-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No171W00000XOther Service ProvidersContractor