Provider Demographics
NPI:1649250259
Name:GRABELLE, HOWARD ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ALAN
Last Name:GRABELLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2688 HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1021
Mailing Address - Country:US
Mailing Address - Phone:732-821-6100
Mailing Address - Fax:732-821-6103
Practice Address - Street 1:2688 HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1021
Practice Address - Country:US
Practice Address - Phone:732-821-6100
Practice Address - Fax:732-821-6103
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA023919207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ132894Medicare ID - Type Unspecified
NJC53464Medicare UPIN