Provider Demographics
NPI:1487985552
Name:DAVID ABEND DO PA
Entity type:Organization
Organization Name:DAVID ABEND DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABEND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-664-5989
Mailing Address - Street 1:400 OLD HOOK RD STE 2-6
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2720
Mailing Address - Country:US
Mailing Address - Phone:201-664-5989
Mailing Address - Fax:201-664-2110
Practice Address - Street 1:400 OLD HOOK RD STE 2-6
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2720
Practice Address - Country:US
Practice Address - Phone:201-664-5989
Practice Address - Fax:201-664-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty