Provider Demographics
NPI:1932413879
Name:ABBATE, ANN KATHERINE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:KATHERINE
Last Name:ABBATE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1571
Mailing Address - Country:US
Mailing Address - Phone:732-294-7935
Mailing Address - Fax:732-294-1532
Practice Address - Street 1:52 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1571
Practice Address - Country:US
Practice Address - Phone:732-294-7935
Practice Address - Fax:732-294-1532
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00241700363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant