Provider Demographics
NPI:1154764603
Name:VERA, ABRAHAM M (NP)
Entity type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:M
Last Name:VERA
Suffix:
Gender:M
Credentials:NP
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:326 AVENUE A
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-1320
Mailing Address - Country:US
Mailing Address - Phone:201-310-5709
Mailing Address - Fax:201-471-2177
Practice Address - Street 1:326 AVENUE A
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-1320
Practice Address - Country:US
Practice Address - Phone:201-310-5709
Practice Address - Fax:201-471-2177
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00430500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health