1437599610 NPI number — DR. ABIGAIL SARAH WHETSTONE DO

Table of content: DR. ABIGAIL SARAH WHETSTONE DO (NPI 1437599610)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437599610 NPI number — DR. ABIGAIL SARAH WHETSTONE DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WHETSTONE
Provider First Name:
ABIGAIL
Provider Middle Name:
SARAH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437599610
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1945 CORLIES AVE
Provider Second Line Business Mailing Address:
DEPARTMENT OF OB/GYN
Provider Business Mailing Address City Name:
NEPTUNE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07753-4859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-776-3790
Provider Business Mailing Address Fax Number:
732-776-4525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
240 WALL ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST LONG BRANCH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07764-1182
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-229-1288
Provider Business Practice Location Address Fax Number:
732-229-6666
Provider Enumeration Date:
07/02/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  25MB09764900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)