Provider Demographics
NPI:1609806454
Name:ABEND, DAVID SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:ABEND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1598 US HIGHWAY 130
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3040
Mailing Address - Country:US
Mailing Address - Phone:732-865-8090
Mailing Address - Fax:732-865-8091
Practice Address - Street 1:1598 US HIGHWAY 130
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3040
Practice Address - Country:US
Practice Address - Phone:732-865-8090
Practice Address - Fax:732-865-8091
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05525900204D00000X
NJBA2708418207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6596703Medicaid
NJF24647Medicare UPIN
NJ6596703Medicaid