Provider Demographics
NPI:1548429582
Name:ABBATE, KARIANN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIANN
Middle Name:
Last Name:ABBATE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KARIANN
Other - Middle Name:
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:223 N VAN DIEN AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2726
Mailing Address - Country:US
Mailing Address - Phone:201-447-2014
Mailing Address - Fax:201-251-3312
Practice Address - Street 1:223 N VAN DIEN AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2726
Practice Address - Country:US
Practice Address - Phone:201-447-2014
Practice Address - Fax:201-251-3312
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09575400207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease