Provider Demographics
NPI:1346545126
Name:ABEND, MORTON (DO)
Entity Type:Individual
Prefix:DR
First Name:MORTON
Middle Name:
Last Name:ABEND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1399 KNIGHTSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2704
Mailing Address - Country:US
Mailing Address - Phone:908-233-7699
Mailing Address - Fax:
Practice Address - Street 1:1399 KNIGHTSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2704
Practice Address - Country:US
Practice Address - Phone:908-233-7699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB019175002085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology