Provider Demographics
NPI:1821559675
Name:ABAWI, FRISHTA (DO)
Entity Type:Individual
Prefix:
First Name:FRISHTA
Middle Name:
Last Name:ABAWI
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 1:44 GODWIN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1959
Mailing Address - Country:US
Mailing Address - Phone:201-891-5044
Mailing Address - Fax:201-891-1119
Practice Address - Street 1:44 GODWIN AVE STE 201
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1959
Practice Address - Country:US
Practice Address - Phone:201-891-5044
Practice Address - Fax:201-891-1119
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11760700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine