Provider Demographics
NPI:1861669137
Name:GRIGGS, ABEER S (DO)
Entity Type:Individual
Prefix:
First Name:ABEER
Middle Name:S
Last Name:GRIGGS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ABEER
Other - Middle Name:S
Other - Last Name:ELESSAWI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:444 NEPTUNE BLVD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4121
Mailing Address - Country:US
Mailing Address - Phone:732-455-8090
Mailing Address - Fax:732-455-8091
Practice Address - Street 1:444 NEPTUNE BLVD
Practice Address - Street 2:SUITE 13
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4121
Practice Address - Country:US
Practice Address - Phone:732-455-8090
Practice Address - Fax:732-455-8091
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08296000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine