Provider Demographics
NPI:1619985744
Name:ABRAMOWITZ, JODI S (DO)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:S
Last Name:ABRAMOWITZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 NEW RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1371
Mailing Address - Country:US
Mailing Address - Phone:609-927-6100
Mailing Address - Fax:
Practice Address - Street 1:210 NEW RD
Practice Address - Street 2:SUITE 11
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1371
Practice Address - Country:US
Practice Address - Phone:609-927-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB42769207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF07727Medicare UPIN
NJAB521830Medicare ID - Type Unspecified