Provider Demographics
NPI:1578669099
Name:ABELOW, GERALD G (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:G
Last Name:ABELOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 BRACE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3213
Mailing Address - Country:US
Mailing Address - Phone:856-428-6616
Mailing Address - Fax:856-428-4823
Practice Address - Street 1:1210 BRACE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3213
Practice Address - Country:US
Practice Address - Phone:856-428-6616
Practice Address - Fax:856-428-4823
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA30031207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0080780000OtherAMERIHEALTH, KEYSTONE, IBC
1025464OtherHORIZON NJ HEALTH
1138503OtherUNITED HEALTHCARE
NJ1287907Medicaid
511934OtherAMERICHOICE
511934OtherAETNA
PA116390OtherPENNSYLVANIA BLUE SHIELD
110103985OtherRR MEDICARE
3K6099OtherHEALTHNET
13527OtherUNIVERSITY HEALTHPLAN
312495OtherCIGNA
CA0000056OtherAMERICHOICE
13527OtherUNIVERSITY HEALTHPLAN
C57040Medicare UPIN