Provider Demographics
NPI:1629091905
Name:ABSECON ISLAND INTERNAL MEDICINE
Entity Type:Organization
Organization Name:ABSECON ISLAND INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIDALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:CURNOW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-822-3027
Mailing Address - Street 1:6508 VENTNOR AVE
Mailing Address - Street 2:
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-2144
Mailing Address - Country:US
Mailing Address - Phone:609-822-3027
Mailing Address - Fax:609-822-5195
Practice Address - Street 1:6508 VENTNOR AVE
Practice Address - Street 2:
Practice Address - City:VENTNOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08406-2144
Practice Address - Country:US
Practice Address - Phone:609-822-3027
Practice Address - Fax:609-822-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB52204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7494505Medicaid
NJ056038Medicare PIN