Provider Demographics
NPI:1922165349
Name:ABEND, PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:ABEND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 BRIDGE ST
Mailing Address - Street 2:BUILDING G
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2294
Mailing Address - Country:US
Mailing Address - Phone:732-516-1042
Mailing Address - Fax:732-516-1043
Practice Address - Street 1:243 BRIDGE ST
Practice Address - Street 2:BUILDING G
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2294
Practice Address - Country:US
Practice Address - Phone:732-516-1042
Practice Address - Fax:732-516-1043
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05189100208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ767888M9FMedicare ID - Type UnspecifiedMEDICARE
NJF79099Medicare UPIN