Emad Abouemara, BVSC

Individual provider Active NPI Veterinarian · South Amboy, NJ

NPI 1104067735 · NPPES record last updated Mar 11, 2009

Key facts

NPI
1104067735
Entity type
Individual (NPI type 1)
Primary specialty
Veterinarian 174M00000X
License
29VI00551400 (NJ)
Practice address
21 Vermeer Dr
South Amboy, NJ 08879-2338
Phone
(973) 641-0241
NPI assigned
Mar 11, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
29VI00551400NJMDVeterinarian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29VI00551400 NJ Yes

Addresses

Primary practice location

21 Vermeer Dr
South Amboy, NJ 08879-2338

Mailing address

21 Vermeer Dr
South Amboy, NJ 08879-2338
Phone (973) 641-0241

Other providers in South Amboy, NJ

All providers in South Amboy, NJ · Veterinarian in New Jersey

Sources for this page

Verify at the official NPI Registry.