Provider Demographics
NPI:1871884007
Name:ABATE, SIU-HAN PAOLA (MD)
Entity type:Individual
Prefix:DR
First Name:SIU-HAN
Middle Name:PAOLA
Last Name:ABATE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SIU-HAN
Other - Middle Name:PAOLA
Other - Last Name:ARTEAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18414 US HIGHWAY 281 N STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-7611
Mailing Address - Country:US
Mailing Address - Phone:210-495-0222
Mailing Address - Fax:210-495-0343
Practice Address - Street 1:76 W MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2148
Practice Address - Country:US
Practice Address - Phone:326-375-2927
Practice Address - Fax:732-637-5299
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10188100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty