Provider Demographics
NPI:1124329560
Name:JODI ABRAMOWITZ D.O., P.A.
Entity type:Organization
Organization Name:JODI ABRAMOWITZ D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JODI
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:ABRAMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-927-6100
Mailing Address - Street 1:210 NEW RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1371
Mailing Address - Country:US
Mailing Address - Phone:609-927-6100
Mailing Address - Fax:
Practice Address - Street 1:210 NEW RD
Practice Address - Street 2:SUITE 11
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1371
Practice Address - Country:US
Practice Address - Phone:609-927-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB04276900208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty