Provider Demographics
NPI:1649372558
Name:ABUEG, FLORENTINO (MD)
Entity type:Individual
Prefix:
First Name:FLORENTINO
Middle Name:
Last Name:ABUEG
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 1:360 ESSEX ST STE 401
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-8566
Mailing Address - Country:US
Mailing Address - Phone:551-996-1140
Mailing Address - Fax:
Practice Address - Street 1:385 MAIN ST S STE 301
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-4241
Practice Address - Country:US
Practice Address - Phone:203-709-8370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10679000207RG0300X
UT342475-1205207RG0300X
CT70270207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT005745008Medicare ID - Type UnspecifiedONSITE
UTD3485Medicare UPIN
UT005780903Medicare ID - Type UnspecifiedDOWNTOWN