NPI 1487067674 · live from the CMS NPI Registry
Jesse Susan Abesh, D.O.
Family Medicine, Geriatric Medicine in Stratford, NJ. National Provider Identifier 1487067674, active.
NPI record
| NPI | 1487067674 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Geriatric Medicine 207QG0300X |
| Practice location | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 |
| Practice phone | 856-566-6843 |
| Enumerated | June 5, 2014 |
| Last updated | February 5, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 25MB09975800 (NJ) |
| Internal Medicine | 207R00000X | 25MB09975800 (NJ) |
| Family Medicine, Geriatric Medicine primary | 207QG0300X | 25MB09975800 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.