Provider Demographics
NPI:1881779106
Name:SADON, ABRAHAM (DC)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:
Last Name:SADON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 COUNTY ROAD 520 STE 1
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1246
Mailing Address - Country:US
Mailing Address - Phone:732-972-6010
Mailing Address - Fax:
Practice Address - Street 1:186 COUNTY ROAD 520 STE 1
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1246
Practice Address - Country:US
Practice Address - Phone:732-972-6010
Practice Address - Fax:732-972-3862
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00423200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2336592000OtherAMERIHEALTH
NJ4532578OtherAETNA PROVIDER #
NJ0805987OtherCIGNA
NJP539636OtherOXFORD PROVIDER #
NJ028825600OtherINDIVIDUAL PROVIDER #
NJ0805987OtherCIGNA
NJ500847SQ5Medicare ID - Type Unspecified