Individual provider · NPI-1
Mena Abrahim, D.O.
Otolaryngology · Bridgewater, NJ
NPI number1457645707
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1457645707
- Entity type
- Individual (NPI-1)
- Name
- Mena Abrahim
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2011
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 25MB09906000 | NJ | Yes |
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | 25MB09906000 | NJ |
Practice location
245 Us Highway 22 Fl 3Bridgewater Plaza II -
Bridgewater, NJ 08807-2560
Phone 908-722-1042 · Fax 908-722-2040
Mailing address
660 White Plains Rd Fl 4Tarrytown, NY 10591-5139
Phone 914-984-2546
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