Provider Demographics
NPI:1588727796
Name:CARGAN, ABBA LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:ABBA
Middle Name:LEWIS
Last Name:CARGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 TIMBER ACRES RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3610
Mailing Address - Country:US
Mailing Address - Phone:908-273-4038
Mailing Address - Fax:908-273-8653
Practice Address - Street 1:1122 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2812
Practice Address - Country:US
Practice Address - Phone:908-233-5000
Practice Address - Fax:908-233-5523
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA586222084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF23985Medicare UPIN