Individual provider · NPI-1

Aleksandr Abakulov, DO

Family Medicine · Morristown, NJ

NPI number1083292528
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1083292528
Entity type
Individual (NPI-1)
Name
Aleksandr Abakulov
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 29, 2021
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine25MB12311600NJYes

Practice location

435 South St Ste 220
Morristown, NJ 07960-6422

Phone 973-971-4222

Mailing address

Po Box 41647
Boston, MA 02241-0001

Phone 844-362-1735

Other practice locations

435 South St Ste 160
Morristown, NJ 07960-6477

Phone 973-971-4222

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