Provider Demographics
NPI:1932940210
Name:ABBATE, DIAMOND (OD)
Entity type:Individual
Prefix:DR
First Name:DIAMOND
Middle Name:
Last Name:ABBATE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 K JOHNSON BLVD UNIT 103
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-2280
Mailing Address - Country:US
Mailing Address - Phone:609-672-0728
Mailing Address - Fax:
Practice Address - Street 1:2703 MOUNT HOLLY RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4175
Practice Address - Country:US
Practice Address - Phone:609-948-3086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program